The incidence of non-vascular complications during laparoscopic surgery ranges from 0.3 - 2.8%. Non-vascular complications are the 3rd leading cause of death with laparoscopic procedures. Intestinal injuries are a common form of non-vascular injury, with 1/3 of occurring during access with a Veress needle, 50 % during placement of an umbilical trocar. When recognized, they are often amenable to repair by laparoscopic techniques. Herein we present a video of several laparoscopic non- vascular complications and their management.

This was a multi-center review of laparoscopic complications. We selected videos of laparoscopic non-vascular complications. We provide recommendations for the prevention and treatment based on our experience and a review of the literature.

We produced a didactic video demonstrating several non-vascular complications during laparoscopic surgeries in urology and their management.

Non-vascular complications during laparoscopic surgery can be a source of significant morbidity. Recognition and immediate repair are imperative. When diagnosed postoperatively, a laparotomy is most appropriate. Ultimately, prevention is the best form of management. Suggestions for prevention include open access, place secondary trocars under direct vision, grasp full thickness bowel with atraumatic instruments, and minimize use of electrocoagulation during bowel dissection.