The incidence of bowel injury during gynecological laparoscopic surgery is 0.03-0.18%. No significant difference in bowel injury rates between laparoscopic insufflation and Hassan entry.

Risk factors include: Prior Laparotomy and Prior Bowel Resection Strategies to decrease the risk of complication include Palmer Point entry, Port Hoping, Sharp dissection, Additional ports.

41% of bowel injuries at gynecologic laparoscopy are diagnosed in a delayed manner; the mortality rate for these cases is 3.2%.

The goal of this surgical classroom is to discuss early diagnosis treatment and prevention of gastrointestinal injuries during gynecological laparoscopy.

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Dr. Emad Mikhail MD, FACOG, FACS, Associate Professor & Chief Division of Gynecologic Subspecialities, Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine Tampa, USA Gynecologic Surgery