Primary Laparoscopic Repair of Iatrogenic Rectal Perforation during Total Laparoscopic Hysterectomy Using an Endoscopic Automatic Anastomotic Device: A Case Report and Literature Review
Background: Rectal injuries are the most severe complications of gynecologic surgeries, especially total laparoscopic hysterectomy. In several cases, an ileostomy is performed as a lifesaving procedure. Recently, studies have suggested that primary repair should be attempted for all cases of intrape...
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| Format: | Article |
| Language: | English |
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IMR Press
2022-12-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/49/12/10.31083/j.ceog4912272 |
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| author | Tomohiro Okuda Atsushi Yamada Seiki Matsuo |
| author_facet | Tomohiro Okuda Atsushi Yamada Seiki Matsuo |
| author_sort | Tomohiro Okuda |
| collection | DOAJ |
| description | Background: Rectal injuries are the most severe complications of gynecologic surgeries, especially total laparoscopic hysterectomy. In several cases, an ileostomy is performed as a lifesaving procedure. Recently, studies have suggested that primary repair should be attempted for all cases of intraperitoneal rectal injuries. To the best of our knowledge, previous case reports have not discussed the specific repair of a rectal injury involving all layers. Case: We report a case of rectal perforation during total laparoscopic hysterectomy and bilateral salpingo-oophorectomy that was laparoscopically repaired using an automatic anastomosis device. Conclusions: A rectal injury may be repaired laparoscopically if the bowel is adequately prepared preoperatively and a skilled surgeon is present. |
| format | Article |
| id | doaj-art-16ad17d7d9f548aeaf7798b765320dfd |
| institution | OA Journals |
| issn | 0390-6663 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-16ad17d7d9f548aeaf7798b765320dfd2025-08-20T01:59:00ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632022-12-01491227210.31083/j.ceog4912272S0390-6663(22)01987-XPrimary Laparoscopic Repair of Iatrogenic Rectal Perforation during Total Laparoscopic Hysterectomy Using an Endoscopic Automatic Anastomotic Device: A Case Report and Literature ReviewTomohiro Okuda0Atsushi Yamada1Seiki Matsuo2Department of Obstetrics and Gynecology, Fukuchiyama City Hospital, 620-8505 Kyoto, JapanDepartment of Obstetrics and Gynecology, Japanese Red Cross Kyoto Daiichi Hospital, 605-0981 Kyoto, JapanDepartment of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center, 661-0892 Hyogo, JapanBackground: Rectal injuries are the most severe complications of gynecologic surgeries, especially total laparoscopic hysterectomy. In several cases, an ileostomy is performed as a lifesaving procedure. Recently, studies have suggested that primary repair should be attempted for all cases of intraperitoneal rectal injuries. To the best of our knowledge, previous case reports have not discussed the specific repair of a rectal injury involving all layers. Case: We report a case of rectal perforation during total laparoscopic hysterectomy and bilateral salpingo-oophorectomy that was laparoscopically repaired using an automatic anastomosis device. Conclusions: A rectal injury may be repaired laparoscopically if the bowel is adequately prepared preoperatively and a skilled surgeon is present.https://www.imrpress.com/journal/CEOG/49/12/10.31083/j.ceog4912272anastomosisiatrogenicrectal injuryrectal perforationtotal laparoscopic hysterectomy |
| spellingShingle | Tomohiro Okuda Atsushi Yamada Seiki Matsuo Primary Laparoscopic Repair of Iatrogenic Rectal Perforation during Total Laparoscopic Hysterectomy Using an Endoscopic Automatic Anastomotic Device: A Case Report and Literature Review Clinical and Experimental Obstetrics & Gynecology anastomosis iatrogenic rectal injury rectal perforation total laparoscopic hysterectomy |
| title | Primary Laparoscopic Repair of Iatrogenic Rectal Perforation during Total Laparoscopic Hysterectomy Using an Endoscopic Automatic Anastomotic Device: A Case Report and Literature Review |
| title_full | Primary Laparoscopic Repair of Iatrogenic Rectal Perforation during Total Laparoscopic Hysterectomy Using an Endoscopic Automatic Anastomotic Device: A Case Report and Literature Review |
| title_fullStr | Primary Laparoscopic Repair of Iatrogenic Rectal Perforation during Total Laparoscopic Hysterectomy Using an Endoscopic Automatic Anastomotic Device: A Case Report and Literature Review |
| title_full_unstemmed | Primary Laparoscopic Repair of Iatrogenic Rectal Perforation during Total Laparoscopic Hysterectomy Using an Endoscopic Automatic Anastomotic Device: A Case Report and Literature Review |
| title_short | Primary Laparoscopic Repair of Iatrogenic Rectal Perforation during Total Laparoscopic Hysterectomy Using an Endoscopic Automatic Anastomotic Device: A Case Report and Literature Review |
| title_sort | primary laparoscopic repair of iatrogenic rectal perforation during total laparoscopic hysterectomy using an endoscopic automatic anastomotic device a case report and literature review |
| topic | anastomosis iatrogenic rectal injury rectal perforation total laparoscopic hysterectomy |
| url | https://www.imrpress.com/journal/CEOG/49/12/10.31083/j.ceog4912272 |
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