Recognition and Prevention of Gastric Injury During Gynecologic Laparoscopy

Abstract

Abstract Background: Laparoscopy is becoming an increasingly essential “tool” for gynecologists. It has rapidly gained popularity because of laparoscopy's advantages over laparotomy. In any event, immediate recognition of complications is essential for reducing morbidity and potential mortality. Most complications occur during entry. This article presents a case of gastric injury caused by a Veress needle during an operative laparoscopy. Case: A postmenopausal woman sustained a gastric injury during insertion of a Veress needle. After the injury was recognized, the patient underwent laparoscopic primary repair of three small serosal puncture wounds. Results: The patient had an uneventful postoperative recovery. Conclusions: Gastric injury is a rare complication of gynecologic laparoscopy. Identification of risk factors, using a nasogastric or orogastric tube to relieve any gastric dilatation before initiation of the procedure, and using proper surgical technique may minimize such injuries. (J GYNECOL SURG...