|July 2008 · Vol. 20, No. 07
How to avoid injury to bowel during laparoscopy
Be reluctant to perform laparoscopy in a patient known to have significant adhesions. Also, be aware of risk of injury at trocar entry and mindful of how you use energy devices.
Surgical skill is the greatest unknown variable in any outcome study of any surgical procedure
Upon direct contact with the intestine, energy devices produce a larger wound than mechanical scissors or a knife, owing to heat transfer
It is impossible to predict the depth of devitalization in energy-inflicted injury by visualization of the event
Dr. Baggish is Chairman of the Department of Obstetrics and Gynecology at Good Samaritan Hospital and Director of Obstetrics and Gynecology Residency Training for TriHealth Hospitals in Cincinnati. He is also Professor of Obstetrics and Gynecology at the University of Cincinnati College of Medicine and a Course Director of the 2008 Pelvic Anatomy and Gynecologic Symposium (PAGS), to be held December 11–13 at the Wynn Las Vegas. For more information go to: www.PAGS-cme.org
The author reports no financial relationships relevant to this article.