Biomedical subjects
Publications and source records attributed to A Kassasseya.
Electrical injury is uncommon during surgical laparoscopy, but may be serious. Following a comprehensive literature review, we describe five mechanisms of burn injuries: direct contact, electric arc, insulation failure, direct or capacitive coupling. We discuss these mechanisms and suggest simple preventive measures designed to ensure optimal safety.
We report two patients who developed a post-traumatic flank hernia manifested several months after road traffic accidents. The diagnosis was missed and established later when a swelling appeared in he flank. CT Scan found a large parietal defect. Treatment by implanting a mesh of non-absorbable material was successful. Post-traumatic flank hernias are rare. The diagnosis may be clinically difficult and is mainly based on CT scan examination. A delayed repair is recommended.
Laparoscopic cholecystectomy is now the most widely performed operative procedure with an unmatched success. An unusual complication developed in our practice. We report a case of haemobilia secondary to an arterio-biliary fistula due to a monopolar diathermy burn. This unusual observation emphasises the high risk of thermal injuries which are serious, difficult to diagnose or manage and often unrecognised at the time of the operation. A comprehensive review of the literature, up to December 1995, revealed 6 other cases of haemobilia of various aetiologies, occurring after laparoscopic cholecystectomy.
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