Complications of laparoscopic surgery.
Abstract: This article describes surgical complications associated with laparoscopy, how to avoid them, how to recognize them if they do happen, and how to deal with them in the most expedient method possible. Complications of sedation, anesthesia, positioning, the general surgical approach, and complications associated with specific surgical procedures are examined. The best defense against surgical complications is a thorough training program and an understanding of anatomy that will help the surgeon work in the three-dimensional environment while being limited to two dimensions on the monitor. The author concludes that it is critical to be able to convert the surgery to an open procedure if there are problems with the equipment or the patient.
Publication Date: 2009-02-11 PubMed ID: 19203701DOI: 10.1016/j.cveq.2008.09.003Google Scholar: Lookup
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Summary
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This is a study that looks at the potential challenges posed by laparoscopic surgery, including how to manage and prevent them. The research emphasizes the need for comprehensive training and a deep understanding of anatomy for surgeons carrying out such operations.
Understanding the complications of laparoscopic surgery
The paper dives deep into several possible complications for laparoscopic surgery, these include:
- Sedation issues, which might involve the patient not being appropriately sedated and potentially experiencing pain or distress during the procedure.
- Problems with anesthesia, such as getting the dosage wrong, which might lead to side effects post-surgery.
- Issues with the patient’s positioning during surgery which could make the procedure more challenging and potentially increase risks.
- General complications that arise from the surgical approach, which might range from incorrect incision to inadequate sterilization leading to infections.
- Complications connected to specific surgical procedures, such as internal bleeding or organ damage in a particular surgery.
How to Avoid and Handle Complications
The author suggests effective strategies for handling and avoiding surgical complications:
- They strongly recommend thorough training programs for surgeons, which can equip them with the skills and knowledge required to deal with the complicated environment of laparoscopic surgery.
- An understanding of anatomy is also vital. Since surgeons work in a three-dimensional environment while being limited to two dimensions on the monitor, the appropriate understanding of depth and spatial orientation is crucial.
- If there are problems with the patient or equipment during laparoscopic surgery, conversion of the procedure to an open surgery is advisable. This allows surgeons to manage complications more effectively and avoid putting the patient’s health at greater risk.
Cite This Article
APA
Hendrickson DA.
(2009).
Complications of laparoscopic surgery.
Vet Clin North Am Equine Pract, 24(3), 557-viii.
https://doi.org/10.1016/j.cveq.2008.09.003 Publication
Researcher Affiliations
- Department of Clinical Sciences, James L. Voss Veterinary Teaching Hospital, College of Veterinary Medicine and Biomedical Sciences, 1620 Campus Delivery, Colorado State University, Fort Collins, CO 80523-1678, USA. Dean.hendrickson@colostate.edu
MeSH Terms
- Anesthesia / adverse effects
- Anesthesia / veterinary
- Animals
- Clinical Competence / standards
- Health Knowledge, Attitudes, Practice
- Horse Diseases / surgery
- Horses
- Humans
- Laparoscopy / adverse effects
- Laparoscopy / veterinary
- Postoperative Complications / diagnosis
- Postoperative Complications / prevention & control
- Postoperative Complications / veterinary
- Surgery, Veterinary / standards
Citations
This article has been cited 6 times.- Vázquez FJ, Vitoria A, Gómez-Arrue J, Fuente S, Barrachina L, de Blas I, Romero A. Complications in Laparoscopic Access in Standing Horses Using Cannula and Trocar Units Developed for Human Medicine.. Vet Sci 2023 Jan 15;10(1).
- Straticò P, Guerri G, Palozzo A, Varasano V, Petrizzi L. Current Use of Equine Laparoscopy in Urogenital Disorders: A Scoping Review of the Literature from 2000 to 2021.. Vet Sci 2022 Jan 22;9(2).
- Devick IF, Hendrickson DA. Effects of Leaving Amputated Ovaries Intra-Abdominally during Elective Bilateral Standing Laparoscopic Ovariectomy in Equids.. Animals (Basel) 2021 Jan 18;11(1).
- Devick IF, Leise BS, Rao S, Hendrickson DA. Evaluation of post-operative pain after active desufflation at completion of laparoscopy in mares undergoing ovariectomy.. Can Vet J 2018 Mar;59(3):261-266.
- Sassot LN, Ragle CA, Farnsworth KD, Lund CM. Morcellation for testes extraction in horses undergoing standing laparoscopic cryptorchidectomy.. Can Vet J 2017 Nov;58(11):1215-1220.
- Hendrickson DA. A review of equine laparoscopy.. ISRN Vet Sci 2012;2012:492650.
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