Abstract
Bowel injury during gynaecological surgery can occur during open and laparoscopic procedures. Most bowel injuries are recognised intra-operatively but when injury is unrecognised or the diagnosis delayed, there is significant mortality. Eighty percent of bowel injuries are managed by laparotomy. Where bowel involvement is anticipated a bowel surgeon should be present during surgery and when injury diagnosed they should be involved early to allow for the best outcomes from the repair.
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References
Cohen SL, Vitonis AF, Einarsson JI. Updated hysterectomy surveillance: factors associated with minimally invasive hysterectomy, a cross-sectional analysis. JSLS. 2014;18. pii: e2014.00096.
Aarts JWM, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BWJ, Kluivers KB. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;(8):CD003677. https://doi.org/10.1002/14651858.CD003677.pub5.
Gupta J. Vaginal hysterectomy is the best minimal access method for hysterectomy. Evid Based Med. 2015;20(6):210. https://doi.org/10.1136/ebmed-2015-110300.
Llarena NC, Shah AB, Milad MP. Bowel injury in gynecologic laparoscopy: a systematic review. Obstet Gynecol. 2015;125:1407–17.
Kafy S, Huang JY, Al-Sunaidi M, Wiener D, Tulandi T. Audit of morbidity and mortality rates of 1792 hysterectomies. J Minim Invasive Gynecol. 2006;13(1):55–9.
Ahmad G, Gent D, Henderson D, O'Flynn H, Phillips K, Watson A. Laparoscopic entry techniques. Cochrane Database Syst Rev. 2015;(8):CD006583. https://doi.org/10.1002/14651858.CD006583.pub4.
Djokovic D, Gupta J, Thomas V, Maher P, Ternamian A, Vilos G, Loddo A, Reich H, Downes E, Rachman IA, Clevin L, Abrao MS, Keckstein G, Stark M, van Herendael B. Principles of safe laparoscopic entry. Eur J Obstet Gynecol Reprod Biol. 2016. pii: S0301–2115(16)30138–5. https://doi.org/10.1016/j.ejogrb.2016.03.040.
Varma R, Gupta JK. Laparoscopic entry techniques: clinical guideline, national survey, and medicolegal ramifications. Surg Endosc. 2008;22:2686–97.
Royal College of Obstetricians and Gynaecologists. Preventing entry related gynaecological laparoscopic injuries, Green Top Guideline No 49; 2008.
Gupta JK, Soeters R, Ndhluni A. Chapter 43: Postoperative care. In: Coomarasamy A, Shafi M, Willy Davila G, Chan KK, editors. Gynecologic and Obstetric Surgery – Challenges and Management Options (GOSMO). Hoboken: Wiley Blackwell; 2016. p. 131–2. ISBN: 97-804-706-576-14.
Driscoll V. Bowel injury during laparoscopic sterilization – Vanessa Palmer v Cardiff & Vale NHS Trust. The AvMA Med Legal J. 2004;10(3):109–11.
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Gupta, J.K., Ismail, T. (2018). Bowel Injury. In: Jha, S., Ferriman, E. (eds) Medicolegal Issues in Obstetrics and Gynaecology. Springer, Cham. https://doi.org/10.1007/978-3-319-78683-4_44
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DOI: https://doi.org/10.1007/978-3-319-78683-4_44
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