The new general surgery fellow placed the three trocar ports for the laparoscopic appendectomy.She was focused on the concept of exact geometric triangulation of the three port accesses,to avoid the concept of sword fighting after inserting her instruments.She knew she had to proceed with caution and determination since this hospital was not able to provide the protected blade trocars she was used to using at the university medical center.The procedure was completed without incident; however,on postoperative day 1,the patient demonstrated signs and symptoms of sepsis.What might have been the unusual occurrence that could have resulted in patient sepsis?

Question

Quizplus · Accepted Answer

To help visualize abdominal structures and enhance safety during laparoscopic procedures,a pneumoperitoneum is created.Although rare,bowel perforation is a risk because this is a relatively blind procedure and no scope can be introduced until pneumoperitoneum is established.

The New General Surgery Fellow Placed the Three Trocar Ports