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Large bowel injuries during gynecological laparoscopy     
Yazarlar
Prof. Dr. Kahraman ÜLKER Prof. Dr. Kahraman ÜLKER
İstanbul Rumeli Üniversitesi, Türkiye
Turgut Anuk
Kafkas Üniversitesi, Türkiye
Murat Bozkurt
Türkiye
Yetkin Karasu
Türkiye
Özet
Laparoscopy is one of the most frequently preferred surgical options in gynecological surgery and has advantages over laparotomy, including smaller surgical scars, faster recovery, less pain and earlier return of bowel functions. Generally, it is also accepted as safe and effective and patients tolerate it well. However, it is still an intra-abdominal procedure and has the similar potential risks of laparotomy, including injury of a vital structure, bleeding and infection. Besides the well-known risks of open surgery, laparoscopy also has its own unique risks related to abdominal access methods, pneumoperitoneum created to provide adequate operative space and the energy modalities used during the procedures. Bowel, bladder or major blood vessel injuries and passage of gas into the intravascular space may result from laparoscopic surgical technique. In addition, the risks of aspiration, respiratory dysfunction and cardiovascular dysfunction increase during laparoscopy. Large bowel injuries during laparoscopy are serious complications because 50% of bowel injuries and 60% of visceral injuries are undiagnosed at the time of primary surgery. A missed or delayed diagnosis increases the risk of bowel perforation and consequently sepsis and even death. In this paper, we aim to focus on large bowel injuries that happen during gynecological laparoscopy and review their diagnostic and management options.
Anahtar Kelimeler
Colon | Gynecology | Intraoperative complications | Laparoscopy | Wounds and injuries
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü SCI, SSCI, AHCI, SCI-Exp dergilerinde yayımlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı WORLD JOURNAL OF CLINICAL CASES
Dergi ISSN 2307-8960
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 12-2014
Cilt No 2
Sayı 12
Sayfalar 846 / 851
Doi Numarası 10.12998/wjcc.v2.i12.846
Makale Linki http://dx.doi.org/10.12998/wjcc.v2.i12.846
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
WoS 10
Large bowel injuries during gynecological laparoscopy

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