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Fatal Intestinal Ischemia after Laparoscopic Correction of Incisional Hernia
BACKGROUND AND OBJECTIVES: Intestinal ischemia is a very rare complication of laparoscopic procedures. In this report, we describe the first case of fatal large bowel ischemia in the aftermath of laparoscopic incisional hernia repair. METHODS: A literature search using PubMed was performed to identi...
Autores principales: | , , |
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Formato: | Texto |
Lenguaje: | English |
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Society of Laparoendoscopic Surgeons
2007
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015836/ https://www.ncbi.nlm.nih.gov/pubmed/17931526 |
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author | Wassenaar, E. B. Raymakers, J. T. F. J. Rakic, S. |
author_facet | Wassenaar, E. B. Raymakers, J. T. F. J. Rakic, S. |
author_sort | Wassenaar, E. B. |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Intestinal ischemia is a very rare complication of laparoscopic procedures. In this report, we describe the first case of fatal large bowel ischemia in the aftermath of laparoscopic incisional hernia repair. METHODS: A literature search using PubMed was performed to identify all published cases of intestinal ischemia following laparoscopic procedures. RESULTS: Our search revealed 13 cases of intestinal ischemia following various laparoscopic procedures. Including this one, 10 of 14 cases reported on so far had impaired cardiovascular, hepatic or renal function or atherosclerosis. None of these patients-at-risk survived. In this series, no indications of faulty operative technique could be identified. CONCLUSION: Patient-related risk factors seem to play the most important role in the development of this rare but devastating complication. Preventive measures and methods to identify patients at risk for developing intestinal ischemia during and after laparoscopy are not completely clear. Patient selection, an optimal hydration status, an optimized technique with lowest insufflation pressure possible, and intermittent decompressions of the abdomen when the procedure is lengthy are the measures that have a potential to prevent this complication. Whatever laparoscopic procedure has been performed, intestinal ischemia should be considered in any patient with nonspecific abdominal symptoms. |
format | Text |
id | pubmed-3015836 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-30158362011-02-17 Fatal Intestinal Ischemia after Laparoscopic Correction of Incisional Hernia Wassenaar, E. B. Raymakers, J. T. F. J. Rakic, S. JSLS Case Reports BACKGROUND AND OBJECTIVES: Intestinal ischemia is a very rare complication of laparoscopic procedures. In this report, we describe the first case of fatal large bowel ischemia in the aftermath of laparoscopic incisional hernia repair. METHODS: A literature search using PubMed was performed to identify all published cases of intestinal ischemia following laparoscopic procedures. RESULTS: Our search revealed 13 cases of intestinal ischemia following various laparoscopic procedures. Including this one, 10 of 14 cases reported on so far had impaired cardiovascular, hepatic or renal function or atherosclerosis. None of these patients-at-risk survived. In this series, no indications of faulty operative technique could be identified. CONCLUSION: Patient-related risk factors seem to play the most important role in the development of this rare but devastating complication. Preventive measures and methods to identify patients at risk for developing intestinal ischemia during and after laparoscopy are not completely clear. Patient selection, an optimal hydration status, an optimized technique with lowest insufflation pressure possible, and intermittent decompressions of the abdomen when the procedure is lengthy are the measures that have a potential to prevent this complication. Whatever laparoscopic procedure has been performed, intestinal ischemia should be considered in any patient with nonspecific abdominal symptoms. Society of Laparoendoscopic Surgeons 2007 /pmc/articles/PMC3015836/ /pubmed/17931526 Text en © 2007 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Case Reports Wassenaar, E. B. Raymakers, J. T. F. J. Rakic, S. Fatal Intestinal Ischemia after Laparoscopic Correction of Incisional Hernia |
title | Fatal Intestinal Ischemia after Laparoscopic Correction of Incisional Hernia |
title_full | Fatal Intestinal Ischemia after Laparoscopic Correction of Incisional Hernia |
title_fullStr | Fatal Intestinal Ischemia after Laparoscopic Correction of Incisional Hernia |
title_full_unstemmed | Fatal Intestinal Ischemia after Laparoscopic Correction of Incisional Hernia |
title_short | Fatal Intestinal Ischemia after Laparoscopic Correction of Incisional Hernia |
title_sort | fatal intestinal ischemia after laparoscopic correction of incisional hernia |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015836/ https://www.ncbi.nlm.nih.gov/pubmed/17931526 |
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