Complex Organ Injuries After Mid-Trimester Termination of Pregnancy: Pushing Boundaries in Laparoscopic Management

Management of vaginal wall perforation during a second trimester dilation and evacuation

“…9 Given the potential for injury to the rectum, sigmoid colon or small bowel, intraoperative evaluation by general surgery or another surgical sub-specialist trained to perform bowel resections should be considered. 16 Although previous literature concluded laparoscopy to be inadequate for bowel evaluation after uterine perforation, improved technology and gynecologist training has allowed the use of this minimally invasive approach rather than laparotomy. 17 Laparoscopy also allows for evaluation and control of bleeding if injury is sustained to the pelvic vasculature.…”