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J Coll Physicians Surg Pak · Jan 2020
Case ReportsOptical Trocar Causing Aortic Injury: A Potentially Fatal Complication of Minimal Access Surgery.
- Rashid Usman, Hafsa Ahmed, Zeeshan Ahmed, and Maqsood Ali.
- Department of Surgery, Mid City Hospital, Lahore, Pakistan.
- J Coll Physicians Surg Pak. 2020 Jan 1; 30 (1): 85-87.
AbstractTrocar injury to abdominal aorta is uncommon and even rare with optical trocars. Such injury, resulting from umbilical trocar insertion, is potentially fatal. It often causes on-table death due to torrential life-threatening haemorrhage and unavailability of expert vascular help. We present a rare case of an injury to infra-renal abdominal aorta, caused by optical trocar insertion for bariatric surgery. Immediate recognition of the injury, deployment of life-saving manoeuvres, timely resuscitation, followed by definitive repair of aorta by vascular surgeon was life-saving for this patient. The recovery phase was uneventful and patient had no residual clinical problems during follow-up.
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