Injury to abdominal organs
- Minilaparotomy for open establishment of the pneumoperitoneum
- Atraumatic dissection
- Careful intraabdominal application of electrosurgery
- Dissection only under direct view
Bleeding
- Transillumination of the abdominal wall
- Subtle dissection
- Introducer set best inserted through the medial rectus muscle
Almost all injuries seen in laparoscopic surgery are reasonably easy to control if they are noticed immediately and treated appropriately, e.g., by arresting any bleeding, suturing any intestinal injuries. In case of doubt: Convert to open surgery!