Complications in Laparoscopic Surgery

Laparoscopic cryptorchidectomy with a vessel‐sealing device in dorsal recumbent horses: 43 cases

“…Laparoscopic procedures in dorsally recumbent horses are associated with a risk of injury to abdominal wall vessels, typically occurring during the skin incision associated with the placement of an instrument portal, or during placement of a trocar‐cannula . The vessels that are predisposed to iatrogenic damage during a laparoscopic cryptorchidectomy in dorsal recumbency include the caudal epigastric and caudal superficial epigastric arteries and veins . In our study, a total of 142 trocar units were placed without complications, a result we attribute to our method for placing trocars.…”

“…Complications related to the insertion of trocars and cannulas have been reported in standing as well as dorsal recumbent laparoscopic procedures . Laparoscopic procedures in dorsally recumbent horses are associated with a risk of injury to abdominal wall vessels, typically occurring during the skin incision associated with the placement of an instrument portal, or during placement of a trocar‐cannula .…”

A Review of Equine Laparoscopy

“…The flank is more challenging to approach from an insufflation perspective as the thickness of the flank is greater than that of the body wall at the umbilicus, there are more tissue layers of varying consistencies, and the peritoneum is more loosely attached. There were some complications associated with the sharp trochar catheter placement with bowel puncture and this method has been abandoned [20, 21]. The main benefit of using the laparoscopic cannula and blunt obturator is that the obturator can be replaced with the telescope prior to insufflation to confirm presence in the peritoneal space.…”

“…Complications associated with laparoscopic surgery have been well documented [20, 21, 52, 140, 141]. The challenges involved in laparoscopic surgery lead to most of the complications associated with laparoscopic surgery.…”

Instrument associated complication of a laparoscopic ovariectomy

“…2005). Reported complications of laparoscopic ovariectomy include trocharisation of bowel when placing cannulas, splenic puncture, placing portals at unusable working angles/distances, retroperitoneal insufflation and inadequate pedicle haemostasis (Shettko 2000; Hendrickson 2008). To the authors' knowledge, no reports exist of an instrument becoming free in the abdominal cavity during a laparoscopic ovariectomy.…”