caa a22 4500 475779231 CHVBK 20180406123639.0 cr unu---uuuuu 170329e20000901xx s 000 0 eng 10.1007/s004640000015 doi (NATIONALLICENCE)springer-10.1007/s004640000015 Management of laparoscopic-related bowel injuries [Elektronische Daten] [M. El-Banna, M. Abdel-Atty, M. El-Meteini, S. Aly] Background: Bowel injury is an uncommon but severely hazardous complication of various laparoscopic procedures. Methods: Twelve cases of bowel injuries complicating different laparoscopic procedures were diagnosed or received at Ain Shams University and Menofia University hospitals over the last 3 years. The mechanism of injury was analyzed, the diagnostic methods and surgical management scrutinized, and the prognosis studied. Results: The injuries were attributed to the inadvertant introduction of Veress needles or sharp-tipped trocars or forcible undue dissection. Failure of pneumoperitoneum was implicated in two cases. Faulty judgment of the extent and site of adhesions contributed to the damage in two cases. In four cases, the duodenum was injured. The colon was perforated in six cases, and the small bowel sustained damage in two cases. Three of the patients died, all of duodenal injury. The other nine patients survived by virtue of diagnosis and proper operative management. Conclusion: Every measure should be taken to avoid the occurrence of bowel injury during laparoscopy. Intraoperative or early postoperative diagnosis and proper management of laparoscopic-induced bowel injuries can minimize morbidity and mortality and yield a better prognosis. Springer-Verlag New York Inc., 2000 El-Banna M. Department of General Surgery, Ain Shams University, Building 12, Area 9, Masr Tameer, Heliopolis 11361, Cairo, Egypt, Egypt aut Abdel-Atty M. Department of General Surgery, Menofia University, Cairo, Egypt, Egypt aut El-Meteini M. Department of General Surgery, Ain Shams University, Building 12, Area 9, Masr Tameer, Heliopolis 11361, Cairo, Egypt, Egypt aut Aly S. Department of General Surgery, Ain Shams University, Building 12, Area 9, Masr Tameer, Heliopolis 11361, Cairo, Egypt, Egypt aut Surgical Endoscopy Springer-Verlag 14/9(2000-09-01), 779-782 0930-2794 14:9<779 2000 14 464 https://doi.org/10.1007/s004640000015 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000015 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- El-Banna M. Department of General Surgery, Ain Shams University, Building 12, Area 9, Masr Tameer, Heliopolis 11361, Cairo, Egypt, Egypt aut NATIONALLICENCE 700 1- Abdel-Atty M. Department of General Surgery, Menofia University, Cairo, Egypt, Egypt aut NATIONALLICENCE 700 1- El-Meteini M. Department of General Surgery, Ain Shams University, Building 12, Area 9, Masr Tameer, Heliopolis 11361, Cairo, Egypt, Egypt aut NATIONALLICENCE 700 1- Aly S. Department of General Surgery, Ain Shams University, Building 12, Area 9, Masr Tameer, Heliopolis 11361, Cairo, Egypt, Egypt aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/9(2000-09-01), 779-782 0930-2794 14:9<779 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer