Aortic Laceration: A Rare Complication of Laparoscopy

Abstract

Aortic laceration during laparoscopic procedures is a rare but well-known complication with a high mortality rate. Thus far, few cases which were recognized and treated successfully have been reported in the literature; the exact incidence is not known. Such a complication occurred after an elective laparoscopic sterilization in a 35-year-old woman. The situation was recognized early and successfully treated. The common complications of laparoscopy are usually of a minor nature but a few are life threatening. This case illustrates the need for emphasis on the prevention of complications and the appropriate course of action in the event of their occurrence.

Complications and conversions of pediatric videosurgery: The Italian multicentric experience on 1689 procedures

“…Ten of our patients experienced bleeding problems but only 1 of them required conversion [2,13,21]. These events should be dealt with by positioning clips or using an automatic stapler, thus avoiding conversion.…”

“…As shown by our results, postsurgical complications are theoretically reduced in laparoscopy; however, the most common ones are infections, small hematomas, or epiploic evisceration [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23].…”

Complications of pediatric laparoscopic surgery

“…Lesions of the endoabdominal organs are generally eventless if they are promptly identified and treated, whereas endo-and retroperitoneal vessel lesions generally require immediate conversion. The endoabdominal vessels most frequently involved are the aorta, the inferior vena cava, and the iliac vessels, due to the fact that they are located right below the umbilicus, only 2-3 cm away [13,14,16]. In case of a vessel lesion, the laparoscopic surgeon must be able to perform an emergency conversion, doing a temporary hemostasis first and a definite hemostasis after having a global balance of the lesion.…”

Komplikationen der Laparoskopie

“…Eine noch höhere Mortalität läßt sich aus einer von Lignitz et al [37] zusammengestellten Übersicht von 11 Autoren ableiten, wo von 37 Verletzungen der großen Gefäße 22 tödlich endeten. Todesfälle werden nicht nur nach Verletzungen mit dem Trokar, sondern auch nach Verletzungen der Aorta abdominalis mit der Veress-Nadel beschrieben [3,37,54,60].…”