title: Assessment of laparoscopic injuries by three methods.
abstract: OBJECTIVE
  To compare laparoscopic, gross, and fluorescent assessment of laparoscopic pelvic injuries.
  
  
  METHODS
  Experimental prospective study.
  
  
  METHODS
  Cleveland Clinic Foundation Animal Research Laboratory, Cleveland, Ohio.
  
  
  METHODS
  Nonpregnant adult female pigs.
  
  
  METHODS
  Pelvic organs injured with laparoscopic energy sources were assessed laparoscopically, grossly, and with a fluorescent indicator and Wood's lamp.
  
  
  METHODS
  Three different measurements of each laparoscopic injury.
  
  
  RESULTS
  Assessment of injuries by laparoscopy did not differ significantly from gross assessment of injuries. In the segments of bowel and bladder that were injured with monopolar cautery, the Wood's lamp assessment of the injuries was significantly longer than the laparoscopic assessment of the injuries.
  
  
  CONCLUSIONS
  Laparoscopic assessment of injured ureters, bowel, and bladder appear to be similar to gross assessment of these tissues. In tissue where the serosal surface is intact, the use of a fluorescent dye and a Wood's lamp provides a clear margin of the injured tissue.
authors.affiliation: Minimally Invasive Surgery Center, The Cleveland Clinic Foundation, Ohio 44195, USA. tulikap@ccf.org
authors.forename: P K
authors.initials: PK
authors.lastname: Tulikangas
authors.forename: S
authors.initials: S
authors.lastname: Beesley
authors.forename: N
authors.initials: N
authors.lastname: Boparai
authors.forename: T
authors.initials: T
authors.lastname: Falcone
mesh_terms: D000818:Animals; D005260:Female; D019793:Fluorescein; D007422:Intestines / Q000293:injuries; D010535:Laparoscopy / Q000009:adverse effects*; D010388:Pelvis / Q000293:injuries*; D013552:Swine; D014513:Ureter / Q000293:injuries; D001743:Urinary Bladder / Q000293:injuries; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000473:pathology
chemical_list: D019793:Fluorescein