Minimal invasive surgery is now exerting a substantial impact on the world of medicine, the use of laparoscopy as an alternative to open surgery continues to grow dramatically. The potential complication of lap surgery includes those resulting from insertion from verses needle and trocar for creation of pneumoperitoneum. Although intra-abdominal injuries by trocar and needle are less common (0.05 to.5%) but serious complication of laparoscopic surgery, establishing pneumoperitoneum believed to most dangerous step, if not recognised intraoperatively and repaired immediately will increased morbidity and mortality.
Injuries during port placement are: Vascular injuries mainly injured vessels are iliac veins, great omental vessels, inferior vena cava, aorta, common iliac arteries, in thin persons abdominal aorta just 2 cm below the umbilicus. to prevent injuries be midline a non-vascular…
