Document Detail


Aortic puncture with a laparoscopic fascial closure device.
MedLine Citation:
PMID:  17666655     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Vascular injury during laparoscopic surgery typically occurs with the blind insertion of either the Veress needle or the trocar. We report an aortic puncture from the use of a laparoscopic fascial closure device. CASE: After a laparoscopic-assisted vaginal hysterectomy and during closure of the 10-mm umbilical port with a fascial closure device, attempted passage of the needle encountered unusual resistance in the abdominal wall. Application of increased force resulted in uncontrolled entry of the needle into the abdominal cavity and a 1-mm puncture of the aorta. After emergency laparotomy the puncture was successfully repaired by a vascular surgeon. CONCLUSION: A previously unreported complication of this laparoscopic fascial closure device is aortic injury. Unusual resistance to passage of the needle should engender extra caution. The use of assistive closure devices should be reserved for patients with difficult anatomy.
Authors:
Gene Lee; Alexander Nguyen; Seth Kivnick; John R Marshall
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  110     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-01     Completed Date:  2007-09-06     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  533-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Harbor-University of California Los Angeles, Torrance, California, USA. glee@obgyn.humc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aorta, Abdominal / injuries*
Fascia / surgery
Female
Humans
Hysterectomy, Vaginal / adverse effects*,  instrumentation*,  methods
Laparoscopy / adverse effects*,  methods
Surgical Instruments / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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