Assessment of laparoscopic injuries by three methods.
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.
Tulikangas
P K
PK
Minimally Invasive Surgery Center, The Cleveland Clinic Foundation, Ohio 44195, USA. tulikap@ccf.org
Beesley
S
S
Boparai
N
N
Falcone
T
T
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
D019793:Fluorescein