Conservative treatment of a huge abdominal wall hematoma after laparoscopic appendectomy

被引：12

作者：

Fernández, EMLT ^{[1
]}

Malagón, AM ^{[1
]}

Arteaga, I ^{[1
]}

Díaz, H ^{[1
]}

Carrillo, A ^{[1
]}

机构：

[1] Hosp Univ Canarias, Dept Gastrointestinal Surg, San Cristobal la Laguna, Santa Cruz De T, Spain

来源：

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | 2005年 / 15卷 / 06期

关键词：

D O I：

10.1089/lap.2005.15.634

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We report a case of a 30-year-old male patient who presented with a huge abdominal wall hematoma 60 minutes after laparoscopic appendectomy. During surgery there had been no sign of abdominal wall bleeding. We found a lateral abdominal wall hematoma caused by rupture of the abdominal epigastric artery after trocar insertion. We conclude that trocar injury is a potentially preventable complication in laparoscopic surgery if certain precautions are taken. Abdominal wall hematoma secondary to injury of an epigastric vessel can be successfully treated with conservative management.

引用

页码：634 / 637

页数：4

共 19 条

[1] Are radially dilating trocars better than the alternatives? [J].

Apelgren, KN .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 2000, 14 (04) :317-317

[2] Anatomic guidelines for the prevention of abdominal wall hematoma induced by trocar placement [J].

Balzer, KM ;

Witte, H ;

Recknagel, S ;

Kozianka, J ;

Waleczek, H .

SURGICAL AND RADIOLOGIC ANATOMY, 1999, 21 (02) :87-89

[3] Complications of laparoscopy - Operative and diagnostic [J].

Bateman, BG ;

Kolp, LA ;

Hoeger, K .

FERTILITY AND STERILITY, 1996, 66 (01) :30-35

[4] Radially expanding dilatation - A superior method of laparoscopic trocar access [J].

Bhoyrul, S ;

Mori, T ;

Way, LW .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1996, 10 (07) :775-778

[5] Trocar injuries in laparoscopic surgery [J].

Bhoyrul, S ;

Vierra, MA ;

Nezhat, CR ;

Krummel, TM ;

Way, LW .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2001, 192 (06) :677-683

[6] Influence of different trocar tips on abdominal wall penetration during laparoscopy [J].

Bohm, B ;

Knigge, M ;

Kraft, M ;

Grundel, K ;

Boenick, U .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1998, 12 (12) :1434-1438

[7] Surgical complications of diagnostic and operative gynaecological laparoscopy: a series of 29,966 cases [J].

Chapron, C ;

Querleu, D ;

Bruhat, MA ;

Madelenat, P ;

Fernandez, H ;

Pierre, F ;

Dubuisson, JB .

HUMAN REPRODUCTION, 1998, 13 (04) :867-872

[8] Ultrasonography and computed tomography reduce unnecessary surgery in abdominal rectus sheath haematoma [J].

Gallego, AM ;

Aguayo, JL ;

Flores, B ;

Soria, T ;

Hernandez, Q ;

Ortiz, S ;

GonzalezCostea, R ;

Parrilla, P .

BRITISH JOURNAL OF SURGERY, 1997, 84 (09) :1295-1297

[9] Complications of laparoscopy: A prospective multicentre observational study [J].

Jansen, FW ;

Kapiteyn, K ;

TrimbosKemper, T ;

Hermans, J ;

Trimbos, JB .

BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1997, 104 (05) :595-600

[10] Radially expanding trocar: A less painful alternative for laparoscopic surgery [J].

Lam, TYD ;

Lee, SW ;

So, HS ;

Kwok, SPY .

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES-PART A, 2000, 10 (05) :269-273

← 1 2 →