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Complications - Appendectomy, laparoscopic - new - general and visceral surgery
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Injury to other bowel segments
In case of clear focus no further exploration.
Avoid “yanking” at the mesentery.
Trocar position injuries
Place trocars under view, minilaparotomy
Thermal bowel or skin injuries
Bipolar coagulation is safer.
- Ureteral injury in adherent retrocecal appendix
- Injury to other bowel segments
Open wound, lavage and dress “wet” twice daily.
Requires revision surgery or percutaneous drainage.
Paralytic: Medical ileus protocol.
Mechanical (adhesive band): Revision surgery.
Reexplore and suture, if not possible, tangential resection of the cecum or ileocecal resection, depending on the findings.
Secondary bleeding from appendicular artery
Usually spontaneous absorption by the body.
Postlaparoscopic shoulder pain syndrome
- Secondary healing