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Bowel injury in open technique laparoscopic cannula placement
H Sadeghi-Nejad1, L R Kavoussi, C A Peters
1Departments of Surgery, Children's Hospital, Boston, Massachusetts.
Urology
|April 1, 1994
Summary
Open trocar placement can cause bowel injury. Surgeons should inspect the puncture site and use a simple repair technique for minor injuries during laparoscopy.
Area of Science:
- Minimally Invasive Surgery
- Pediatric Surgery
- Surgical Complications
Background:
- Open trocar placement is a common laparoscopic technique to avoid Veress needle complications.
- Ensuring a secure, airtight peritoneal cavity is crucial during laparoscopic procedures.
Observation:
- A case report details a serosal bowel injury in a two-year-old patient during open trocar placement.
- The injury occurred during the placement of a holding stitch to secure the peritoneal cavity.
Findings:
- The study highlights a rare complication of open trocar placement: iatrogenic bowel injury.
- Inspection of the umbilical insertion site is critical for early detection of such injuries.
Implications:
- Emphasizes the need for careful technique and site inspection during open trocar placement in pediatric laparoscopy.
- Describes a simple, rapid method for repairing minor bowel injuries, potentially reducing operative time and morbidity.