|July 2008 · Vol. 20, No. 07
Lessons in timely recognition of laparoscopy-related bowel injury
Be diligent about inspecting the bowel in the area of surgical intervention and quick to suspect intestinal injury when the patient doesn’t improve postop
When a patient fails to improve after laparoscopy, the first presumptive diagnosis should be laparoscopy-associated intestinal injury
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.
In Part 1 of this article, I outlined circumstances in which abdominal adhesions should be anticipated and described strategies to prevent intestinal injury during operative procedures. Here, I describe ways to identify intestinal injury as soon as possible after it occurs, which is vital to prevent serious sequelae such as sepsis and even death.