Surgical Endoscopy

, Volume 7, Issue 2, pp 88–89 | Cite as

Laparoscopic repair of small bowel and colon

A report of 26 cases
  • Camran Nezhat
  • Farr Nezhat
  • Wayne Ambroze
  • Earl Pennington
Original Articles

Summary

This is a retrospective review of laparoscopic repair for enterotomies created during therapeutic or diagnostic laparoscopy in 26 women. All patients had mechanical and antibiotic bowel preparation preoperatively. The indication for operative laparoscopy was endometriosis (18), severe abdominal adhesive disease (7), and adhesions with Crohn's disease (1). Enterotomies were secondary either to CO2 laser vaporization or excision of endometriosis and/or lysis of adhesions (23) and trocar insertion (3). The injuries included small-bowel enterotomies (9), colotomies (4), and rectotomies (13). No clinical complications related to enterotomy repair were noted. Twenty-three patients were discharged 1 day after surgery; one was discharged on postoperative day 2; and two were discharged on postoperative day 3. We concluded that small- and large-bowel enterotomies can be repaired safely via the laparoscope with minimum morbidity in patients with prepared bowel.

Key words

Small bowel Colon Enterotomy Laparoscope Operative laparoscopy 

References

  1. 1.
    Cooperman AM, Katz V, Zimmon D, Botero G (1991) Laparoscopic colon resection: a case report. J Laparoendosc Surg 1: 221–224Google Scholar
  2. 2.
    Cooperman AM, Zucker KA (1991) Surgical laparoscopy. Quality Medical Publications St. Louis.Google Scholar
  3. 3.
    Lange V, Meyer G, Scharday HM (1991) Laparoscopic creation of a loop colostomy. J Laparoendosc Surg 1: 307–312Google Scholar
  4. 4.
    Nezhat C, Nezhat F, Metzger DA, Luciano AA (1990) Adhesion reformation after reproductive surgery by videolaseroscopy. Fertil Steril 53: 6: 1008–1011Google Scholar
  5. 5.
    Nezhat C, Nezhat F (1991) Incidental appendectomy during videolaseroscopy. Am J Obstet Gynecol 165: 559–564Google Scholar
  6. 6.
    Nezhat F, Nezhat C, Silfen SL (1991) Videolaseroscopy for oophorectomy. Am J Obstet Gynecol 165: 1323–1330Google Scholar
  7. 7.
    Nezhat C, Burrell MO, Nezhat FR, Benigno BB, Welander CE (1992) Laparoscopic radical hysterectomy with para-aortic and pelvic node dissection. Am J Obstet Gynecol 166: 864–865Google Scholar
  8. 8.
    Nezhat F, Nezhat C, Pennington E (1992) Laparoscopic proctectomy for infiltrating endometriosis of the rectum. Fertil Steril 57: 1129–1132Google Scholar
  9. 9.
    Nezhat C, Green B, Welander C, Nezhat F (1992) Laparoscopic treatment of obstructed ureter due to endometriosis by resection and ureteroureterostomy. A case report. J Urol 1992; 148: 865–868Google Scholar
  10. 10.
    Nezhat C, Nezhat F, Gordon S, Wilkins E (1992) Laparoscopic versus abdominal hysterectomy. J Reprod Med 37: 247–250Google Scholar
  11. 11.
    Nezhat C, Nezhat F (1992) Operative laparoscopy for the management of ovarian remnant syndrome. Fertil Steril 57: 1003–1007Google Scholar
  12. 12.
    Operative laparoscopy study group (1991) Postoperative adhesion development after operative laparoscopy: evaluation at early second-look procedures. Fertil Steril 55: 700–704Google Scholar
  13. 13.
    Peters JH, Ellison C, et al (1991) Safety and efficacy of laparoscopic cholecystectomy. Ann Surg 213: 93–102Google Scholar
  14. 14.
    Saclarides TJ, Ko ST, Airan M, Dillon C, Franklin J (1991) Laparoscopic removal of a large colonic lipoma. Report of a case. Dis Colon Rectum 34: 1027–1029Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1993

Authors and Affiliations

  • Camran Nezhat
    • 1
    • 2
  • Farr Nezhat
    • 1
    • 2
  • Wayne Ambroze
    • 1
    • 2
  • Earl Pennington
    • 1
    • 2
  1. 1.Center for Special Pelvic SurgeryAtlanta
  2. 2.Department of Obstetrics and GynecologyMercer University School of MedicineMacon

Personalised recommendations