Free Medical Advice Related to Laparoscopic Surgery

Endometriotis
Discussion in 'All Categories' started by Colette - Sep 9th, 2012 6:32 pm.
Colette
Colette
Had laproscopy and adeliosis or sumthim on monday 3rd sept 2012 on 5th sept my navel started leakin pale green fluid, pain wose over few days got antibiotic yesterday from walk in said was hole back navel maybee stich desolved smell is aufull like poo, pain worse and cant even walk properly
re: Endometriotis by Sadhana Mishra - Sep 19th, 2012 8:01 am
#1
Sadhana Mishra
Sadhana Mishra
Dear Colette

There are many complication which is possible. Bowel injury following laparoscopic surgery is a rare complication that may have an unusual presentation and devastating sequelae. Any bowel injury, including serosal abrasions, should be treated at the time of recognition. Persistent focal pain in a trocar site with abdominal distention, diarrhea and leukopenia may be the first presenting signs and symptoms of an unrecognized laparoscopic bowel injury.

Bowel injury is the third cause of death from a laparoscopic procedure after major vascular injury and anesthesia. Unlike major vascular injuries where the risk and presentation are immediate, many bowel injuries go unrecognized at the time of the procedure. Consequently, patients present postoperatively, often after discharge, with peritonitis. This delay makes it a significant cause of morbidity and mortality.

A large survey of nearly 37,000 gynecologic laparoscopies in the US revealed a 0.16% incidence of bowel injury. 39.8% of vascular and intestinal injuries were caused by the Veress needle, 37.9% by insertion of the primary trocar, and 22% by the secondary trocar. The remaining gastrointestinal injuries resulted during dissection, electrocoagulation, or grasping. Importantly, these investigators noted the experience of the surgeons was an important factor in the overall complication rate and in the incidence of intestinal injury.

So please get first the correct diagnosis.

With regards
Sadhana
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