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Prevention and Treatment of Abdominal Wall Bleeding Complications at Trocar Sites: Review of the Literature

Vázquez-Frias, José Antonio MD*; Huete-Echandi, Federico MD; Cueto-Garcia, Jorge MD*; Padilla-Paz, Luis Alfonso MD

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: June 2009 - Volume 19 - Issue 3 - p 195-197
doi: 10.1097/SLE.0b013e3181a620dc
Review Articles

Abdominal wall bleeding may complicate any laparoscopic procedure. Piercing or laceration of vessels transversing the abdominal wall during trocar placement is generally the cause. Bleeding may occur at the very beginning of the surgery but, in some cases, it may go unrecognized for a while complicating the operation and the postoperative course. Planned and careful trocar placement can prevent most of these instances that otherwise can be readily managed avoiding severe morbidity.

*Department of Surgery, The American British Medical Center and The Angeles Lomas Hospital, Mexico City, Mexico

Department of Surgery, Hospital Cima, San Jose, Costa Rica

Southwest Gynecologic Oncology Associates, Albuquerque, NM

Reprints: Jose Antonio Vazquez-Frias, MD, Carlos Graeff Fernández, No. 154. Col. Tlaxala, Consultorio 401, C.P. 05300, México, D.F. México (e-mail:

Received for publication March 26, 2008; accepted February 3, 2009

© 2009 Lippincott Williams & Wilkins, Inc.