Ventricular laceration and cardiac tamponade during laparoscopic Nissen fundoplication

Surg Laparosc Endosc. 1996 Oct;6(5):394-7.

Abstract

Laparoscopic fundoplication is now accepted as an excellent alternative to long term medical therapy for select patients with gastroesophageal reflux disease. Morbidity is uncommon and usually not life threatening. The procedure requires retraction of the left lateral segment of the liver, which has emerged as one of the most troubling technical aspects. This case report represents an uncommon, albeit dramatic, complication involving traumatic injury to the right ventricle thought secondary to trauma from a non-disposable, fan shaped, liver retractor.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Cardiac Tamponade / etiology*
  • Female
  • Follow-Up Studies
  • Fundoplication / adverse effects*
  • Fundoplication / instrumentation
  • Gastroesophageal Reflux / surgery
  • Heart Ventricles / injuries*
  • Humans
  • Intraoperative Complications / etiology*
  • Intraoperative Complications / surgery
  • Laparoscopes
  • Laparoscopy / adverse effects*