| October 2012 · Vol. 24, No. 10 SURGICAL TECHNIQUES
How to avoid intestinal and
urinary tract injuries during
gynecologic laparoscopy
By arming yourself with knowledge of the most common
complications—and their causes—and employing well-chosen
surgical strategies, you can lower the risk of laparoscopic-related
morbidity and mortality
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IN THIS ARTICLE
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Variables that influence the risk of bowel injury
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A review of the literature on intestinal complications
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How to protect the urinary tract
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Michael Baggish, MDDr. Baggish practices Obstetrics and Gynecology at The Women’s Center at Saint Helena Hospital in Saint Helena, California. He also serves as Professor of Obstetrics and Gynecology at the University of California, San Francisco, and as Emeritus Chairman and Residency Director, Department of Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, Ohio.
Dr. Baggish reports no financial relationships relevant to this article.
 CASE: Adhesions complicate multiple surgeries
In early 2007, a 37-year-old woman with a history of hysterectomy, adhesiolysis, bilateral partial salpingectomy, and cholecystectomy underwent an attempted laparoscopic bilateral salpingo-oophorectomy (BSO) for pelvic pain. The operation was converted to laparotomy because of severe adhesions and required several hours to complete.
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