A case of rectal injury due to incorrect insertion of a vagi pipe during total laparoscopic hysterectomy, which was treated under colonoscopy

Abstract

　Laparoscopic surgery has become a widely accepted standard for treating benign gynecological conditions in recent years. Total laparoscopic hysterectomy (TLH) is one of these procedures, which is performed at numerous medical institutions. Compared to total abdominal hysterectomy (TAH), TLH offers a less invasive approach, leading to reduced postoperative pain, a shorter hospital stay and quicker reintegration into society. However, the extensive use of electric scalpels and energy devices in a confined spaces increases the risk of serious complications such as intestinal injury and bladder injury. In such cases, a shift to laparotomy may be necessary. Herein, we report a case involving a rectal injury that occurred from the incorrect insertion of a vagi pipe. This complication led to a rectal incision, which was successfully repaired using a hemostatic clip during a postoperative colonoscopy.