Optical Trocar Causing Aortic Injury: A Potentially Fatal Complication of Minimal Access Surgery

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Optical Trocar Causing Aortic Injury: A Potentially Fatal Complication of Minimal Access Surgery


JournalJournal of the College of Physicians and Surgeons Pakistan
Publication date – Jan – 2020
Authors – Rashid Usman , Hafsa Ahmed , Zeeshan Ahmed , Maqsood Ali
KeywordsAorta injury, Bariatric, laparoscopy, Optical trocar
Open access – Yes
SpecialityGeneral surgery, Vascular surgery
World region Southern Asia
Country: Pakistan
Language – English
Submitted to the One Surgery Index on May 10, 2020 at 9:46 am
Abstract:

Trocar injury to abdominal aorta is uncommon and even rare with optical trocars. Such injury, resulting from umbilical trocar insertion, is potentially fatal. It often causes on-table death due to torrential life-threatening haemorrhage and unavailability of expert vascular help. We present a rare case of an injury to infra-renal abdominal aorta, caused by optical trocar insertion for bariatric surgery. Immediate recognition of the injury, deployment of life-saving manoeuvres, timely resuscitation, followed by definitive repair of aorta by vascular surgeon was life-saving for this patient. The recovery phase was uneventful and patient had no residual clinical problems during follow-up.

OSI Number – 20344
PMID – 31931939

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