Inadvertent enterotomy in minimally invasive abdominal surgery.

Abstract

Inadvertent enterotomy in laparoscopic abdominal surgery is especially dangerous if unrecognized during the primary operation. The incidence of IE can be significantly reduced with careful individualized risk assessment. Only surgeons who are trained in advanced laparoscopy should attempt complicated cases and must always be wary of possible bowel injury. Any patient with signs of peritonitis, sepsis, or increased abdominal pain after laparoscopic surgery must promptly be investigated. The department culture of intraoperative cooperation helped improve outcomes.