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Small bowel obstruction in a peritoneal defect after laparoscopic Burch procedure.
H Margossian1, R R Pollard, M D Walters
1Department of Gynecology A/81, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Summary
Laparoscopic surgery can cause rare complications like bowel obstruction. Suturing peritoneal defects at larger cannula sites (10mm+) after laparoscopic Burch colposuspension can prevent this serious issue.
Area of Science:
- Gynecologic surgery
- Minimally invasive procedures
Background:
- Laparoscopic surgery is increasingly used in gynecology.
- New complications arise with laparoscopic techniques compared to open surgery.
Observation:
- A rare complication occurred after a laparoscopic Burch colposuspension for genuine stress urinary incontinence.
- A loop of small bowel herniated through an unclosed peritoneal defect at a cannula insertion site, causing intestinal obstruction.
Findings:
- The patient developed intestinal obstruction 9 days post-surgery.
- The complication was linked to a non-closed peritoneal defect at the right lower quadrant cannula insertion site.
Implications:
- Suturing peritoneal defects is recommended for cannula insertion sites of 10-mm and greater.
- This practice may prevent serious complications like bowel herniation and obstruction in laparoscopic gynecologic procedures.