|Discussion in 'All Categories' started by mohammad atieh - Mar 13th, 2016 7:22 pm.|
|Dear sir ,
I did a laparoscopic ovarian cystectomy .
After 1 week patient still complains of bleeding from site of trocar entry at umbilicus. I treat her with antibiotics but without improvement .
re: complication at trocer site entry by Dr. Nidhi - Apr 3rd, 2016 4:43 pm
|Laparoscopic techniques have revolutionized the field of surgery. Benefits include decreased postoperative pain, quicker return to normal activity, and less postoperative complications. However, unique complications are associated with gaining access to the abdomen for laparoscopic surgery. Inadvertent bowel injury or major vascular injury are uncommon but potentially life-threatening complications, usually occurring during initial access.
Incidence of port site bleeding was found to be 0.7%. Most of them are associated with the placement of secondary trocars. There was no associated bleeding with port site dilatation for specimen removal. Injury to epigastric vessels can be related to carelessness during the operative procedure usually during the placement of secondary trocars which should be placed under direct vision and with prior illumination of the abdominal wall. Bleeding from the abdominal wall may not become apparent until after the port is removed because the port may tamponade muscular or subcutaneous bleeding. In addition to visually inspecting the access site upon its creation, the site should also be inspected during and following removal of the port. Bleeding points can usually be identified and managed with electrocautery.
On occasion, the skin incision may need to be enlarged to control the bleeding. If persistent bleeding continues, a Foley catheter can also be inserted, inflated, and gentle traction applied to tamponade the site. Also, U-stitches can be placed into the abdominal wall under direct laparoscopic visualization using a suture passer with absorbable braided sutures. A number of specialized instruments have been devised for fascial closure at the port site and these may also be useful for managing abdominal wall bleeding.
In your case it is difficult to predict which vessel was injured but the delayed bleeding may be due to internal hematoma.
Empowering Through Knowledge: World Laparoscopy Hospital's Free Online Medicolegal Advice for Patients and Doctors
In the ever-evolving landscape of healthcare, the intersection of medicine and law plays a pivotal role. Recognizing this crucial juncture, World Laparoscopy Hospital is taking a pioneering step by offering free online medicolegal advice, a service that caters not only to patients but also to fellow healthcare professionals.
The Nexus of Medicine and Law
Medicolegal matters in healthcare are complex and often require a nuanced understanding of both medical practices and legal intricacies. These issues can range from malpractice claims to ethical dilemmas. World Laparoscopy Hospital's initiative to provide free online medicolegal advice acknowledges the importance of navigating these complexities effectively.
A Global Need for Expertise
Medical and legal concerns are universal, transcending geographical boundaries. Patients may find themselves in situations where they require legal guidance related to their healthcare, while doctors may seek clarification on medicolegal matters pertaining to their practice. World Laparoscopy Hospital stands ready to address these needs by offering free online medicolegal advice to a global audience.
Key Aspects of World Laparoscopy Hospital's Free Online Medicolegal Advice Service:
1. Accessible Expertise: The hospital boasts a team of experienced physicians, surgeons, and legal experts who specialize in medicolegal matters. This multidisciplinary approach ensures that individuals receive guidance from professionals well-versed in both medicine and law.
2. Global Reach: The online platform transcends geographical constraints, allowing patients and doctors from all corners of the world to access this service. This inclusivity is especially beneficial for those who may not have local access to medicolegal experts.
3. Convenience: The online medicolegal advice service is available around the clock, offering the convenience of seeking guidance at any time. This is particularly valuable for addressing urgent or time-sensitive issues.
4. Privacy and Security: World Laparoscopy Hospital places a premium on patient confidentiality and data security, ensuring that sensitive medicolegal information is treated with the utmost care.
5. Comprehensive Support: The hospital's experts provide holistic advice, addressing immediate concerns while also offering insights into navigating the complex medicolegal landscape effectively.
6. Professional Collaboration: In addition to aiding patients, the platform serves as a space where doctors can consult with their peers and medicolegal experts. This encourages collaboration and knowledge sharing among healthcare professionals.
Empowering Patients and Professionals Alike
The provision of free online medicolegal advice aligns seamlessly with World Laparoscopy Hospital's mission to empower patients and doctors. It enables patients to better understand their rights and options in medicolegal matters while offering doctors valuable guidance in navigating the legal aspects of healthcare.
Fostering Improved Healthcare Practices
In a world where medicolegal issues can be both intricate and intimidating, World Laparoscopy Hospital's commitment to offering free online medicolegal advice is a ray of hope. It empowers individuals and healthcare professionals to navigate these complex waters more confidently and effectively. World Laparoscopy Hospital's dedication to providing free online medicolegal advice is a testament to its commitment to improving healthcare practices globally. By making expertise more accessible, more inclusive, and more patient-centric, this institution is not only providing valuable guidance but also contributing to a healthcare landscape where informed decisions and ethical practices prevail. In a world that increasingly values knowledge, this initiative is a beacon of empowerment and enlightenment.
Ask Free Legal Questions On Consumer Protection Related to Laparoscopic Surgery. As the Premier Institute of Minimal Access Surgery World Laparoscopy Hospital provide Free medico legal advice to Patient and Surgeon. Institute of Medicine & Law department of World Laparoscopy Hospital provides education, information, and services in medical laws. WLH Medico Legal information and analysis is real-time, accurate, actionable and is delivered to doctors, hospitals, and lawyers on multiple platforms using the latest in technology.
Knowledge Bank of World Laparoscopy Hospital on Medical Laws is comprehensive and continuously updated with the latest developments in medical laws. Today, in World, World Laparoscopy Hospital possesses the best resources in terms of professionals, information, and knowledge on medical laws related to Minimal Access Surgery and these are optimally utilized in providing Medico legal Legal solutions.<
World Laparoscopy Hospital organizes the National and International Convention on Medico legal issues related to Minimal Access Surgery every year, a platform to identify the legal issues relating to laparoscopic and robotic surgery, discuss them threadbare, and suggest remedial measures. Doctors, medical associations, hospitals, lawyers, judges, regulators, and policy makers are part of this initiative.