Rectal perforation after incision of the vaginal canal following incorrect insertion of a Vagi-Pipe into the rectum during total laparoscopic hysterectomy

Okamoto, Shuhei; Nakanishi, Kentaro; Ono, Masatada; Nozawa, Akemi; Kitamura, Shinitsu; Miyamoto, Toshinobu; Sengoku, Kazuo

doi:10.1080/01443615.2016.1210590

Cited by 4 publications

(3 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Okamoto et al have reported a rectal injury caused by misinserting a vaginal pipe [4]. Their case was similar to ours; however, their case had no adhesions, and the vaginal wall was thin.…”

Section: Discussionsupporting

confidence: 79%

See 1 more Smart Citation

A case of rectal injury due to vaginal pipe misinsertion during total laparoscopic hysterectomy

Yoshimura¹,

Nakayama²,

Sawada³

et al. 2021

Clin. Exp. Obstet. Gynecol.

View full text Add to dashboard Cite

Total laparoscopic hysterectomy (TLH) is one of the techniques feasible for the treatment of myoma. Our department has performed more than 1,000 laparoscopic hysterectomies since 2014. In our department, these surgeries are performed by a supervising doctor, operator, and a first assistant who is o ten insu ficiently experienced. There are several types of injuries that can occur during laparoscopic surgery; however, cases in which the vaginal pipe is inserted incorrectly are very rare. Here, we report the case of a 47-year-old nulliparous woman who experienced a rectal injury caused by the misinsertion of a vaginal pipe into the rectum. Seven years prior, she had undergone a myomectomy for leiomyomas. Later, she developed recurrent leiomyomas and worsening hypermenorrhea; therefore, she underwent a total laparoscopic hysterectomy. During the operation, the first assistant usually inserts a vaginal pipe into the vagina when the vaginal wall is cut. In this case, when the vaginal wall was cut, the vaginal pipe was inserted into the rectum, and the rectal wall was incised, allowing communication between the rectum and vagina. The rectum was repaired with the support of a gastroenterological surgeon, and the operation was completed laparoscopically. On the 7th postoperative day, an enema was performed to confirm that no leaks were present, and feeding was restarted. The patient was discharged home on the 17th postoperative day. The current case highlights the necessity of surgeons to be aware of various factors when performing this procedure to prevent complications, even those that are rare.

show abstract

“…Okamoto et al have reported a rectal injury caused by misinserting a vaginal pipe [4]. Their case was similar to ours; however, their case had no adhesions, and the vaginal wall was thin.…”

Section: Discussionsupporting

confidence: 79%

“…To our knowledge, this is the second case of this kind to be reported in the world [4]. Injuries, such as the one presented herein, are a concern for all patients undergoing TLH.…”

Section: Introductionmentioning

confidence: 60%

A case of rectal injury due to vaginal pipe misinsertion during total laparoscopic hysterectomy

Yoshimura¹,

Nakayama²,

Sawada³

et al. 2021

Clin. Exp. Obstet. Gynecol.

View full text Add to dashboard Cite

show abstract

“…1b). A limiting factor of the VAGI-PIPE® is that the uterine manipulator (ClearView® in the present case) should be removed before colpotomy since the anus, which is relaxed under general anesthesia, may be mistaken for the vagina, as in the cases reported by Yoshimura [3] and Okamoto [6]. Moreover, according to Asai et al [1], even when the VAGI-PIPE® is inserted into the vagina, rectal perforation may still occur in the presence of adhesions between the uterus and rectum.…”

Section: Discussionmentioning

confidence: 95%

Primary Laparoscopic Repair of Iatrogenic Rectal Perforation during Total Laparoscopic Hysterectomy Using an Endoscopic Automatic Anastomotic Device: A Case Report and Literature Review

Okuda¹,

Yamada²,

Matsuo³

2022

Clin. Exp. Obstet. Gynecol.

View full text Add to dashboard Cite

Background: Rectal injuries are the most severe complications of gynecologic surgeries, especially total laparoscopic hysterectomy. In several cases, an ileostomy is performed as a lifesaving procedure. Recently, studies have suggested that primary repair should be attempted for all cases of intraperitoneal rectal injuries. To the best of our knowledge, previous case reports have not discussed the specific repair of a rectal injury involving all layers. Case: We report a case of rectal perforation during total laparoscopic hysterectomy and bilateral salpingo-oophorectomy that was laparoscopically repaired using an automatic anastomosis device. Conclusions: A rectal injury may be repaired laparoscopically if the bowel is adequately prepared preoperatively and a skilled surgeon is present.

show abstract

A case of rectal injury due to rectal insertion of a vaginal delineator during total laparoscopic hysterectomy

Hoshi¹,

Tanaka²,

Hara³

et al. 2020

JAPANESE JOURNAL OF JSGOE

View full text Add to dashboard Cite

Rectal perforation after incision of the vaginal canal following incorrect insertion of a Vagi-Pipe into the rectum during total laparoscopic hysterectomy

Cited by 4 publications

References 4 publications

A case of rectal injury due to vaginal pipe misinsertion during total laparoscopic hysterectomy

A case of rectal injury due to vaginal pipe misinsertion during total laparoscopic hysterectomy

Primary Laparoscopic Repair of Iatrogenic Rectal Perforation during Total Laparoscopic Hysterectomy Using an Endoscopic Automatic Anastomotic Device: A Case Report and Literature Review

A case of rectal injury due to rectal insertion of a vaginal delineator during total laparoscopic hysterectomy

Contact Info

Product

Resources

About