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Significant abdominal wall hematoma from an umbilical port insertion

I Marcovici1

  • 1Department of Obstetrics and Gynecology, University of Michigan Medical Center, University of Michigan, Ann Arbor 48109-0276, USA. Marcovic@umich.edu

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|September 11, 2001
PubMed

Abstract:

Laparoscopists consider the umbilical and ventral midline area to be "vascular safe." On occasion, however, the insertion of the first trocar at the umbilical port may result in severe abdominal wall hematoma.

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Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...

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