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: firstname.lastname@example.org).
Received for publication March 26, 2008; accepted February 3, 2009