Rashid Usman, Hafsa Ahmed, Zeeshan Ahmed, Maqsood Ali.
Optical Trocar Causing Aortic Injury: a Potentially Fatal Complication of Minimal Access Surgery..
J Coll Physicians Surg Pak Jan ;30(1):85-7.

Trocar injury to abdominal aorta is uncommon and even rare with optical trocars. Such injury, resulting from umbilical trocar insertion, is potentially fatal. It often causes on-table death due to torrential life-threatening haemorrhage and unavailability of expert vascular help. We present a rare case of an injury to infra-renal abdominal aorta, caused by optical trocar insertion for bariatric surgery. Immediate recognition of the injury, deployment of life-saving manoeuvres, timely resuscitation, followed by definitive repair of aorta by vascular surgeon was life-saving for this patient. The recovery phase was uneventful and patient had no residual clinical problems during follow-up.

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