Intra-abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomy

Trocar insertion is an essential and initial part in any laparoscopic procedure. Inadvertent abdominal wall vascularinjury, leading to intra-abdominal bleeding or abdominal wall haematoma due to trocar insertion, may occur at thisfirst step. We report here a case of uneventful laparoscopic cholecyst...

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Main Authors: Bijan Mohammadhosseini, Shahram Shirani
Format: Article
Language:English
Published: Medycyna Praktyczna 2011-09-01
Series:Videosurgery and Other Miniinvasive Techniques
Subjects:
Online Access:http://www.termedia.pl/Case-report-Intra-abdominal-and-abdominal-wall-haematoma-from-5-mm-port-insertion-site-in-laparoscopic-cholecystectomy,42,17372,1,0.html
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author Bijan Mohammadhosseini
Shahram Shirani
author_facet Bijan Mohammadhosseini
Shahram Shirani
author_sort Bijan Mohammadhosseini
collection DOAJ
description Trocar insertion is an essential and initial part in any laparoscopic procedure. Inadvertent abdominal wall vascularinjury, leading to intra-abdominal bleeding or abdominal wall haematoma due to trocar insertion, may occur at thisfirst step. We report here a case of uneventful laparoscopic cholecystectomy in a 44-year-old woman, which was followedlater by large abdominal wall haematoma through the 5 mm trocar insertion site. Emergency laparotomy wasneeded to control the bleeding. Delayed abdominal wall haematoma can occur even with most lateral, 5 mm trocarinsertions. Learning abdominal wall vascular anatomy, transilluminating the abdominal wall before trocar insertionand entering the abdominal cavity at a right angle may decrease the possibility of this complication.
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institution Kabale University
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series Videosurgery and Other Miniinvasive Techniques
spelling doaj-art-b2b7e4b36d9647ed8f4edef4b0416f812025-08-20T03:39:21ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882011-09-0163164166Intra-abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomyBijan MohammadhosseiniShahram ShiraniTrocar insertion is an essential and initial part in any laparoscopic procedure. Inadvertent abdominal wall vascularinjury, leading to intra-abdominal bleeding or abdominal wall haematoma due to trocar insertion, may occur at thisfirst step. We report here a case of uneventful laparoscopic cholecystectomy in a 44-year-old woman, which was followedlater by large abdominal wall haematoma through the 5 mm trocar insertion site. Emergency laparotomy wasneeded to control the bleeding. Delayed abdominal wall haematoma can occur even with most lateral, 5 mm trocarinsertions. Learning abdominal wall vascular anatomy, transilluminating the abdominal wall before trocar insertionand entering the abdominal cavity at a right angle may decrease the possibility of this complication.http://www.termedia.pl/Case-report-Intra-abdominal-and-abdominal-wall-haematoma-from-5-mm-port-insertion-site-in-laparoscopic-cholecystectomy,42,17372,1,0.htmlhaematomalaparoscopyportabdominal wallcomplication
spellingShingle Bijan Mohammadhosseini
Shahram Shirani
Intra-abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomy
Videosurgery and Other Miniinvasive Techniques
haematoma
laparoscopy
port
abdominal wall
complication
title Intra-abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomy
title_full Intra-abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomy
title_fullStr Intra-abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomy
title_full_unstemmed Intra-abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomy
title_short Intra-abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomy
title_sort intra abdominal and abdominal wall haematoma from 5 mm port insertion site in laparoscopic cholecystectomy
topic haematoma
laparoscopy
port
abdominal wall
complication
url http://www.termedia.pl/Case-report-Intra-abdominal-and-abdominal-wall-haematoma-from-5-mm-port-insertion-site-in-laparoscopic-cholecystectomy,42,17372,1,0.html
work_keys_str_mv AT bijanmohammadhosseini intraabdominalandabdominalwallhaematomafrom5mmportinsertionsiteinlaparoscopiccholecystectomy
AT shahramshirani intraabdominalandabdominalwallhaematomafrom5mmportinsertionsiteinlaparoscopiccholecystectomy