Dealing with complications in laparoscopy

Best Practice and Research: Clinical Obstetrics and Gynaecology

Volumn 23, Issue 5, 2009, Pages 631-646

  Lam, Alan ^a   Kaufman, Yuval ^a   Khong, Su Yen ^a   Liew, Andy ^a   Ford, Stephen ^a   Condous, George ^b  

^a ROYAL NORTH SHORE HOSPITAL   (Australia)

^b UNIVERSITY OF SYDNEY   (Australia)

Author keywords

anaesthesia; bowel; classification; complications; counselling; injury; laparoscopy; management; nerve; urinary tract

Indexed keywords

ANALGESIC AGENT; ANTIBIOTIC AGENT; GABAPENTIN; PREGABALIN; TRICYCLIC ANTIDEPRESSANT AGENT; VITAMIN B GROUP;

ANESTHESIA INDUCTION; ARTICLE; BLADDER INJURY; BLOOD VESSEL INJURY; DISEASE CLASSIFICATION; DOCTOR PATIENT RELATION; EARLY DIAGNOSIS; GAS EMBOLISM; HUMAN; INFECTION; INTESTINE INJURY; INTESTINE SURGERY; LAPAROSCOPIC SURGERY; LOW DRUG DOSE; NERVE INJURY; NEUROSURGERY; PATHOGENESIS; PATIENT COUNSELING; PATIENT IDENTIFICATION; PATIENT POSITIONING; PATIENT SAFETY; PEROPERATIVE COMPLICATION; PHYSIOTHERAPY; PNEUMOPERITONEUM; POSTOPERATIVE COMPLICATION; POSTOPERATIVE HEMORRHAGE; PRIORITY JOURNAL; RISK MANAGEMENT; SURGICAL APPROACH; URETER INJURY; URINARY TRACT INJURY; UROLOGIC SURGERY; AERATION; CARDIOVASCULAR SYSTEM; COUNSELING; EMBOLISM, AIR; FEMALE; GASTROINTESTINAL TRACT; GENITAL DISEASES, FEMALE; INTERPERSONAL COMMUNICATION; INTRAOPERATIVE COMPLICATIONS; LAPAROSCOPY; TRAUMA, NERVOUS SYSTEM; URINARY TRACT;

CARDIOVASCULAR SYSTEM; COMMUNICATION; COUNSELING; EMBOLISM, AIR; FEMALE; GASTROINTESTINAL TRACT; GENITAL DISEASES, FEMALE; HUMANS; INSUFFLATION; INTRAOPERATIVE COMPLICATIONS; LAPAROSCOPY; PATIENT POSITIONING; TRAUMA, NERVOUS SYSTEM; URINARY TRACT;

EID: 69449094302     PISSN: 15216934     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.bpobgyn.2009.03.004     Document Type: Article

References (95)

1. Reich H., Decaprio J., and McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg 5 (1989) 213-216
2. Sciarra J.J. Endoscopy in gynecology: past, present and future. J Minim Invasive Gynecol 13 5 (2006) 367-369
3. Garry R. Laparoscopic surgery. Best Pract Res Clin Obstet Gynaecol 20 1 (2006) 89-104
4. Johnson N., Barlow D., Lethaby A., et al. The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ 328 7432 (2004) 129-133
5. Härkki-Sirén P., and Kurki T. A nationwide analysis of laparoscopic complications. Obstet Gynecol 89 (1997) 108-112
6. RANZCOG/United Medical Protection Limited. Gynaecology - A claims review. Joint report 2005. The Royal Australian and New Zealand College of Obstetricians and Gynaecologists: Sydney, Australia.
7. Magrina J.F. Complications of laparoscopic surgery. Clin Obstet Gynecol 45 2 (2002) 469-480
8. Jansen F.W., Kapiteyn K., Trimbos-Kemper T., et al. Complications of laparoscopy: a prospective multicenter observational study. Br J Obstet Gynaecol 104 (1997) 595-600
9. Querleu D., and Chapron C. Complications of gynecologic laparoscopic surgery. Curr Opin Obstet Gynecol 7 (1995) 257-261
10. Oxford English Dictionary, 7th edition (2005), Oxford University Press
11. Singh S.S., Condous G., and Lam A. Primer on risk management for the gynaecological laparoscopist. Best Pract Res Clin Obstet Gynaecol 21 4 (2007) 675-690
12. Elliot C. Clinical governance in gynaecological surgery. Best Pract Res Clin Obstet Gynaecol 20 (2006) 189-204
13. Edozien L.C. Patient safety in the operating theater: an overview. Clinical Risk 11 (2005) 177-184
14. NSW Department of Health. Model policy for the safe introduction of new interventional procedures into clinical practice. Available at: (October 2003). http://www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005-2333.pdf
15. Edozien L. Correct patient, correct site, correct procedure. Available at: (July 2005), Saferhealthcare. http://www.saferhealthcare.org.uk
16. Michaels R.K., Makary M.A., Dahab Y., et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Ann Surg 245 4 (2007) 526-532
17. ACOG Committee Opinion #328: patient safety in the surgical environment. Obstet Gynecol 107 2 Pt 1 (2006 Feb) 429-433
18. World Health Organization. Safe surgery saves lives: the second global patient safety challenge. Available at:. http://www.who.int/patientsafety/challenge/safe.surgery/en/ [accessed 02.06.08]
19. Chui P.T., Gin T., and Oh T.E. Anaesthesia for laparoscopic general surgery. Anaesth Intensive Care 21 (1993) 163-171
20. Myles P.S. Bradyarrhythmias and laparoscopy: a prospective study of heart rate changes with laparoscopy. Aust N Z J Obstet Gynaecol 31 (1991) 171-173
21. Doyle D.J., and Mark P.W. Reflex bradycardia during surgery. Can J Anaesth 37 (1990) 219-222
22. Bartelmaos T., Blanc R., DeClaviere G., et al. Delayed pneumomediastinum and pneumothorax complicating laparoscopic extraperitoneal inguinal hernia repair. J Clin Anesth 17 (2005) 209-212
23. Cottin V., Delafosse B., and Viale J.-P. Gas embolism during laparoscopy: A report of seven cases in patients with previous abdominal surgical history. Surg Endosc 10 (1996) 166-169
24. Bonjer H.J., Hazebroek E.J., Kazemier G., et al. Open versus closed establishment of pneumoperitoneum in laparoscopic surgery. Br J Surg 84 (1997) 599-602
25. Graff T.D., Arbegast N.R., Phillips O.C., et al. Gas embolism: a comparative study of air and carbon dioxide as embolic agents in the systemic venous system. Am J Obstet Gynecol 78 (1959) 259-265
26. Vidovich M.I., and Lojeski E.W. Case report: probable carbon dioxide embolism during endoscopically assisted varicose vein stripping. Anesthesiology 91 5 (1999) 1527
27. Muth C.M., and Shank E.S. Primary care: gas embolism. N Engl J Med 342 7 (2000) 476-482
28. Beck D.H., and McQuillan P.J. Fatal carbon dioxide embolism and severe haemorrhage during laparoscopic salpingectomy. Br J Anaesth 72 (1994) 243-245
29. Swank D.J., Swank-Bordewijk S.C., Hop W.C., et al. Laparoscopic adhesiolysis in patients with chronic abdominal pain: a blinded randomised controlled multi-centre trial. Lancet 361 9365 (2003 Apr 12) 1247-1251
30. Ginsburg E.S., Benson C.B., Garfield J.M., et al. The effect of operative technique and uterine size on blood loss during myomectomy: a prospective randomized study. Fertil Steril 60 (1993) 956
31. Sadik S., Onoglu A., Mendilcioglu I., et al. Urinary tract injuries during advanced gynecologic laparoscopy. J Am Assoc Gynecol Laparosc 7 4 (2000) 569-572
32. Champault G., Cazacu F., and Taffinder N. Serious trocar accidents in laparoscopic surgery: a French survey of 103,852 operations. Surg Laparosc Endosc 6 5 (1996) 367-370
33. Crist D.W., and Gadacz T.R. Complications of laparoscopic surgery. Surg Clin North Am 73 2 (1993) 265-289
34. Shirk G.J., Johns A., and Redwine D.B. Complications of laparoscopic surgery: how to avoid them and how to repair them. J Minim Invasive Gynecol 13 4 (2006) 352-359
35. Opitz I., Gantert W., Giger U., et al. Bleeding remains a major complication during laparoscopic surgery: analysis of the SALTS database. Langenbecks Arch Surg 390 2 (2005) 128-133
36. Chapron C.M., Pierre F., Lacroix S., et al. Major vascular injuries during gynecologic laparoscopy. J Am Coll Surg 185 5 (1997) 461-465
37. Kyung M.S., Choi J.S., Lee J.H., et al. Laparoscopic management of complications in gynecologic laparoscopic surgery: a 5-year experience in a single center. J Minim Invasive Gynecol 15 6 (2008) 689-694
38. Moore C.L., Vasquez N.F., Lin H., et al. Major vascular injury after laparoscopic tubal ligation. J Emerg Med 29 1 (2005) 67-71
39. Pring C.M. Aortic injury using the Hasson trocar: a case report and review of the literature. Ann R Coll Surg Engl 89 2 (2007) W3-W5
40. Hanney R.M., Carmalt H.L., Merret N., et al. Use of the Hasson cannula producing major vascular injury at laparoscopy. Surg Endosc 13 (1999) 1238-1240
41. Balzer K.M., Witte H., Recknagel S., et al. Anatomic guidelines for the prevention of abdominal wall hematoma induced by trocar placement. Surg Radiol Anat 21 (1999) 87-89
42. Hurd W.W., Pearl M.L., DeLancey J.O., et al. Laparoscopic injury of abdominal wall blood vessels: A report of three cases. Obstet Gynecol 82 S (1993) 673-676
43. Reid G.D., Cooper M.J., and Parker J. Implications for port placement of deep circumflex iliac artery damage at laparoscopy. J Am Assoc Gynecol Laparosc 6 2 (1999) 221-345
44. Philips P.A., and Amaral J.F. Abdominal access complications in laparoscopic surgery. J Am Coll Surg 192 4 (2001) 525-536
45. Gostout B.S., Cliby W.A., and Podratz K.C. Prevention and management of acute intraoperative bleeding. Clin Obstet Gynecol 45 2 (2002) 481-491
46. Nezhat C., Childers J., Nezhat F., et al. Major retroperitoneal vascular injury during laparoscopic surgery. Hum Reprod 12 (1997) 480-483
47. Hammond I.G., Obermair A., Taylor J.D., et al. The overlay autogenous tissue (OAT) patch to control major intraoperative vascular injury in an ovine model. Gynecol Oncol 94 2 (2004) 560-563
48. Wagner W.R., Pachence J.M., Ristich J., et al. Comparative in vitro analysis of topical hemostatic agents. J Surg Res 66 (1996) 100-108
49. Oz M.C., Rondinone J.F., and Shargill N.S. FloSeal Matrix: new generation topical hemostatic sealant. J Card Surg 18 (2003) 486-493
50. Peterson H.B., Hulka J.F., and Phillips J.M. American Association of Gynecologic Laparoscopists 1988 membership survey on operative laparoscopy. J Reprod Med 35 (1990) 587-589
51. Van der Voort M., Heijnsdijk E.A., and Gouma D.J. Bowel injury as a complication of laparoscopy. Br J Surg 91 10 (2004) 1253-1258
52. Bishoff J.T., Allaf M.E., Kirkels W., et al. Laparoscopic bowel injury: incidence and clinical presentation. J Urol 161 3 (1999) 887-890
53. Chapron C., Pierre F., Harchaoui Y., et al. Gastrointestinal injuries during gynaecological laparoscopy. Hum Reprod 14 (1999) 333-337
54. Hashizume M., and Sugimachi K. Needle and trocar injury during laparoscopic surgery in Japan. Surg Endosc 11 (1997) 1198-1201
55. Soderstrom R.M. Bowel injury litigation after laparoscopy. J Am Assoc Gynecol Laparosc 1 (1993) 74-77
56. Lajer H., Widecrantz S., and Heisterberg L. Hernias in trocar ports after abdominal laparoscopy. A review. Acta Obstet Gynecol Scand 76 (1997) 389-393
57. Yuen P.M. Early incisional hernia following laparoscopic surgery. Aust N Z J Obstet Gynaecol 35 (1995) 211-212
58. Penfield A.J. How to prevent complications of open laparoscopy. J Reprod Med 30 (1985) 660-663
59. Tucker R.D. laparoscopic electrosurgical injuries: survey results and their complications. Surg Laparosc Endosc 5 (1995) 311-317
60. Kadar N., Reich H., Liu C.Y., et al. Incisional hernias after major laparoscopic gynecologic procedures. Am J Obstet Gynecol 168 (1993) 1493-1495
61. Sirito R., Puppo A., Centurioni M.G., et al. Incisional hernia on the 5-mm trocar port site and subsequent wall endometriosis on the same site: a case report. Am J Obstet Gynecol 193 3 Pt 1 (2005) 878-880
62. Reardon P.R., Preciado A., Scarborough T., et al. Hernia at 5-mm laparoscopic port site presenting as postoperative small bowel obstruction. J Laparoendosc Adv Surg Tech A 9 6 (1999) 523-525
63. Platell C., Barwood N., Dorfmann G., et al. The incidence of anastomotic leaks in patients undergoing colorectal surgery. Colorectal Dis 9 1 (2007) 71-79
64. Brosens I., Gordon A., Campo R., et al. Bowel injury in gynecologic laparoscopy. J Am Assoc Gynecol Laparosc 10 1 (2003) 9-13
65. Smith A.R.B. Post-operative complications following minimal access surgery. Baillieres Clin Obstet Gynaecol 14 (2000) 123-132
66. Cosson M., Lambaudie E., Boukerrou M., et al. Vaginal, laparoscopic, or abdominal hysterectomies for benign disorders: immediate and early postoperative complications. Eur J Obstet Gynecol Reprod Biol 98 (2001) 231-236
67. Li T.C., Saravelos H., Richmond M., et al. Complications of laparoscopic pelvic surgery: recognition, management and prevention. Hum Reprod Update 3 5 (1997) 505-515
68. Nezhat C., Nezhat F., Ambrose W., et al. Laparoscopic repair of small bowel and colon: a report of 26 cases. Surg Endosc 7 (1993) 88
69. Smith L.E. Traumatic injuries. In: Gordon P.H., and Nivatvongs S. (Eds). Principles and practice of surgery for the colon, rectum, and anus. 2nd edn (1999), Quality Medical Publishing, Missouri 1236-1259
70. Ostrsenski A., and Ostrzenska K. Bladder injury during laparoscopic surgery. Obstet Gynecol Surv 53 3 (1998) 175-180
71. Cholkeri-Singh A., Nareoalem N., and Miller C.E. Laparoscopic ureteral injury and repair: Case reviews and clinical update. J Minim Invasive Gynecol 14 (2007) 356-361
72. Hasson H.M., and Parker W.H. Prevention and management of urinary tract injury in laparoscopic surgery. J Am Assoc Gynecol Laparosc 5 (1998) 99-114
73. Saidi M.H., Sadler R.K., Vancaillie T.G., et al. Diagnosis and management of serious urinary complications after major operative laparoscopy. Obstet Gynecol 87 (1996) 272-276
74. Brubaker L.T., and Wilbanks G.D. Urinary tract injuries in pelvic surgery. Surg Clin North Am 71 (1991) 963-976
75. Ostrzenski A., Radolinski B., and Ostrzenska K. A review of laparoscopic ureteral injury in pelvic surgery. Obstet Gynecol Surv 58 12 (2003) 794-799
76. Blichert-Toft M., and Nielson O.V. Disease of the urachus simulating intraabdominal disorders. Am J Surg 122 (1971) 123
77. Carley M.E., McIntire D., and Carley J.M. Incidence, risk factors, and morbidity of unintended bladder or ureter injury during hysterectomy. Int Urogynecol J Pelvic Floor Dysfunct 13 (2002) 18-21
78. Mäkinen J., Johansson J., Tomás C., et al. Morbidity of 10 110 hysterectomies by type of approach. Hum Reprod 16 (2001) 1473-1478
79. Gilmour D., Dwyer P., and Carey M. Lower urinary tract injury during gynecologic surgery and its detection by intraoperative cystoscopy. Obstet Gynecol 94 5 Part 2 (1999) 883-889
80. Jha S., Coomarasamy A., and Chan K.K. Ureteric injury in obstetrics and gynaecological surgery. Obstet Gynaecol 6 (2004) 203-208
81. Nezhat C., and Nezhat F. Laparoscopic repair of the ureter resected during operative laparoscopy. Obstet Gynecol 80 (1992) 543-544
82. De Cicco C., Davalos M., Cleynenbreugel B., et al. Iatrogenic ureteral lesions and repair: A review for gynaecologists. J Minim Invasive Gynecol 14 (2007) 428-435
83. Ou C., Huang I., and Rowbotham R. Laparoscopic ureteroureteral anastomosis for repair of urethral injury involving stricture. Int Urogynecol J Pelvic Floor Dysfunct 16 (2005) 155-157
84. Utrie J. Bladder and ureteral injury: prevention and management. Clin Obstet Gynecol 41 3 (1998) 755-763
85. Cardosi R.J., Cox C.S., and Hoffman M.S. Postoperative neuropathies after major pelvic surgery. Obstet Gynecol 100 2 (2002) 240-244
86. Irvin W., Andersen W., Taylor P., et al. Minimizing the risk of neurologic injury in gynecologic surgery. Obstet Gynecol 103 2 (2004) 374-382
87. Porzionato A., Macchi V., Fenato F., et al. Femoral nerve injury after gynecologic laparoscopy. J Minim Invasive Gynecol 15 1 (2008) 105-107
88. Barnett J.C., Hurd W.W., Rogers Jr. R.M., et al. Laparoscopic positioning and nerve injuries. J Minim Invasive Gynecol 14 5 (2007) 664-672
89. Rafii A., and Querleu D. Laparoscopic obturator nerve neurolysis after pelvic lymphadenectomy. J Minim Invasive Gynecol 13 1 (2006) 17-19
90. Vasilev S.A. Obturator nerve injury: a review of management options. Gynecol Oncol 53 2 (1994) 152-155
91. Stulz P., and Pfeiffer K.M. Peripheral nerve injuries resulting from common surgical procedures in the lower portion of the abdomen. Arch Surg 117 3 (Mar 1982) 324-327
92. Nahabedian M.Y., and Dellon A.L. Outcome of the operative management of nerve injuries in the ilioinguinal region. J Am Coll Surg 184 3 (1997) 265-268
93. Lee C.H., and Dellon A.L. Surgical management of groin pain of neural origin. J Am Coll Surg 191 2 (2000) 137-142
94. Hahn L. Clinical findings and results of operative treatment in ilioinguinal nerve entrapment syndrome. Br J Obstet Gynaecol 96 9 (1989) 1080-1083
95. Edozien L.C. Risk management in gynaecology: principles and practice. Best Pract Res Clin Obstet Gynaecol 21 4 (2007) 713-725