| Major vascular injury as a complication of laparoscopic surgery: a report of three cases and review of the literature. | |
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MedLine Citation:
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PMID: 8615566 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We retrospectively reviewed all 2201 laparoscopic procedures performed at our community teaching hospital in the 3-year period between 1992 and 1995. There were three major vascular injuries, for an incidence of 0.14 per cent. Vessels injured were the left common iliac vein, the right common iliac artery, and the left internal iliac artery. Two of the injuries were believed to involve the 10 mm trocar, whereas the third involved the Veress needle. Two of the injuries were All injuries were successfully repaired primarily. We believe such major vascular injuries can be avoided by strict use of proper techniques of needle and trocar insertion, and by using the open technique to create a pneumoperitoneum in patients with previous abdominal operations. Laparoscopic surgeons should be aware of the potential for injury to major vascular structures and constantly be prepared to identify and treat this potentially life-threatening complication. |
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Authors:
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J Geers; C Holden |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American surgeon Volume: 62 ISSN: 0003-1348 ISO Abbreviation: Am Surg Publication Date: 1996 May |
Date Detail:
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Created Date: 1996-06-05 Completed Date: 1996-06-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370522 Medline TA: Am Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 377-9 Citation Subset: IM |
Affiliation:
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Department of Surgery, Mount Carmel Medical Center, Columbus, Ohio 43222, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Blood Vessels / injuries* Cholecystectomy, Laparoscopic / adverse effects Cholecystitis / surgery Dyspareunia / surgery Female Humans Intraoperative Complications* Laparoscopy / adverse effects* Pelvic Pain / surgery Punctures / adverse effects |
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