Abstract
ABSTRACT
Laparoscopy is generally a safe and a well-tolerated procedure; however, complications and failures sometimes occur. The danger of damage to vascular structures and intrabdominal organs associated with blind insertion of the insufflation needle and trocars is always present. Safety shields on disposable cannulas do not prevent vascular accidents if proper insertion techniques are disregarded. If a retroperitoneal hematoma is observed, a laparotomy is required for its assessment. The cases of four patients who sustained vascular injuries during initial trocar insertion at laparoscopy are presented. Recommendations are made for the diagnosis, treatment, and—more importantly—for the prevention of vascular injuries at laparoscopy. (J GYNECOL SURG 14:123, 1998)
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