with Dr. Emad Mikhail
The incidence of bowel injury during gynecological laparoscopic surgery is 0.03-0.18%. No significant difference in bowel injury rates between laparoscopic insufflation and Hassan entry.
Risk factors include: Prior Laparotomy and Prior Bowel Resection Strategies to decrease the risk of complication include Palmer Point entry, Port Hoping, Sharp dissection, Additional ports.
41% of bowel injuries at gynecologic laparoscopy are diagnosed in a delayed manner; the mortality rate for these cases is 3.2%.
The goal of this surgical classroom is to discuss early diagnosis treatment and prevention of gastrointestinal injuries during gynecological laparoscopy.
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