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Evisceration after laparoscopic sterilization

A Lopez1, J Cahill, S Z Badawy

  • 1Department of Obstetrics and Gynecology, SUNY Health Science Center, 750 East Adams Street, Syracuse, NY 13210, USA.

The Journal of the American Association of Gynecologic Laparoscopists
|November 1, 1995
PubMed
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A rare complication following laparoscopic tubal sterilization occurred when a patient experienced small bowel evisceration. Prompt surgical intervention involving resection and anastomosis led to an uneventful recovery.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Gynecologic Surgery

Background:

  • Laparoscopic tubal sterilization is a common gynecologic procedure.
  • Complications, though rare, can occur during or after minimally invasive surgeries.

Observation:

  • A 35-year-old multiparous woman developed post-operative nausea and vomiting after laparoscopic tubal sterilization.
  • Serosanguineous discharge was noted at the cannula incision site.

Findings:

  • Surgical exploration revealed evisceration of 10 cm of necrotic small bowel through the incision.
  • Resection anastomosis was successfully performed to address the bowel necrosis.

Implications:

  • This case highlights a severe but treatable complication of laparoscopic procedures.

Related Experiment Videos

  • Highlights the importance of vigilant wound monitoring post-laparoscopy for early detection of evisceration.
  • Emphasizes the critical role of prompt surgical management in preventing further complications.