| Popis: |
Astract The incidence and consequences of bowel injuries during laparoscopies, including the potential need for laparotomy and possible ileostomy, must be understood by both the surgeon and patient before embarking upon any surgical procedure. The risk of bowel injury has been reported to be between 0.5 and 1.8/1,000 laparoscopies; those injuries that require laparotomy have had a risk of 0.88 to 1.09/1,000 cited. Incidences may be dependent upon the practice of the surgeons involved. A review of the practice of a single gynaecologist, performing mostly advanced laparoscopic procedures in a tertiary level centre, was undertaken. All the cases over a 13-year period were reviewed and are reported. The incidence of bowel injury was 2.6/1,000 cases (0.3%), including Veress needle and trocar injuries. Repairs requiring laparotomy had an incidence of 1.4/1,000 cases. These rates may reflect the specialized referral practice of the surgeon involved and the number of advanced laparoscopic cases performed, but it also may reflect the reality of the practice of gynaecological laparoscopy over the past 13 years. |
