Trocar-related injuries in laparoscopic procedures

Trocar-related injury can occur if the different procedures, including dist ension of the abdomen, pneumoperitoneum or anesthesia, are insufficient. Su ch injuries can be prevented by proper handling and good angulation of the trocar on the abdomen. In case of suspected vascular injury, conversion to open laparotomy is requ ired to explore the abdominal cavity. If abdominal adhesions are discovered after introducing the first trocar, a second trocar must be introduced at some distance from the first one to visually check the absence of any diges tive injury. The degree of wound dehiscence depends on the size, site and direction of i ntroduction of the trocar.