Open AccessLarge bowel injury during total laparoscopic hysterectomy
Author(s) -
malvika sabharwal
Publication year - 2009
Publication title -
journal of gynecological endoscopy and surgery
Language(s) - English
Resource type - Journals
eISSN - 0974-1216
pISSN - 0974-7818
DOI - 10.4103/0974-1216.51911
Subject(s) - medicine , surgery , complication , dissection (medical) , hysterectomy , laparoscopy , incidence (geometry) , general surgery , optics , physics
Large bowel injuries are unfortunate complications of laparoscopic surgery, with an incidence of 0.62 to 1.6 per 1000 laparoscopies. One-third of these injuries can be diagnosed intraoperatively, with the rest going unnoticed and revealed later. Rectal injury, a very rare complication, may be caused during pelvic dissection of dense adhesions. Injury at the rectosigmoid junction due to traction with a rectal probe is extremely rare and highly underreported. We report a case of rectal injury during total laparoscopic hysterectomy in a case with dense pelvic adhesions.