- Bleeding:
To keep the surgical field clear in case of bleeding, irrigate and suction first because this improves the view in the field and allows precise identification of the source of the bleeder. If the bleeder needs clipping, replace the 5 mm trocar by a 10 mm trocar. When visual control is poor, it is always possible to insert another 5 mm/10 mm trocar to better explore the surgical field. If these measures do not yield the desired results the operation must be converted to an open procedure. - Pneumoperitoneum:
Quite often the gas will insufflate the abdominal cavity which narrows the preperitoneal workspace somewhat. Usually this does not hinder further dissection. If needed, insertion of a Veress needle will deflate the abdominal cavity and reestablish sufficient workspace. If it is not possible to create enough workspace this way, it is always possible to convert to a TAPP procedure. - Larger peritoneal defects:
Larger peritoneal defects should be sutured or clipped to stop the mesh from getting into contact with the intraabdominal organs.
-
Intraoperative complications
Postoperative complications
Hematoma: Depending on the size of the hematoma, it may be enough to wait until it resolves (watchf
Hematoma: Depending on the size of the hematoma, it may be enough to wait until it resolves (watchf
Activate now and continue learning straight away.
Single Access
Activation of this course for 3 days.
€4.99 inclusive VAT
Most popular offer
webop - Savings Flex
Combine our learning modules flexibly and save up to 50%.
from €3.29 / module
€39.50 / yearly payment
general and visceral surgery
Unlock all courses in this module.
€9.08
/ month
€109.00 / yearly payment