Journal of Gynecological Endoscopy and Surgery
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CASE REPORT
Year : 2009  |  Volume : 1  |  Issue : 1  |  Page : 57-58

Large bowel injury during total laparoscopic hysterectomy


Chief Consultant, Obgyn Jeevan Mala Hospital, Consultant, Obgyn La Femme Fortis Hospital, New Delhi, India

Correspondence Address:
Malvika Sabharwal
Jeewan Mala Hospital, 60/33, New Rohtak Road, New Delhi - 110005
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1216.51911

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Large bowel injuries are unfortunate complications of laparoscopic surgery, with an incidence of 0.62 to 1.6 per 1000 laparoscopies. One-third of these injuries can be diagnosed intraoperatively, with the rest going unnoticed and revealed later. Rectal injury, a very rare complication, may be caused during pelvic dissection of dense adhesions. Injury at the rectosigmoid junction due to traction with a rectal probe is extremely rare and highly underreported. We report a case of rectal injury during total laparoscopic hysterectomy in a case with dense pelvic adhesions.


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