Billroth wrote:No thank the Lord! I have heard of this but never seen it.
It appears that the disposable trocar with "safety shield" (USSC) was inserted once 3 litres had been put in even though the pressure remained rather low. The scrub nurse quietly told me that the trocar entry was "a bit forceful!!" Once the cannula was in place, the trocar was removed followed by "a gush of blood" which was interpreted as "having hit a small vessel in the abdo wall" No intrabdominal bleeding was noted, and they proceeded with whatever they do to endometriosis of the ovary. On the way out they noted a small haematoma over the sacral promontory, and called me while they opened.
This time we lost about 3 litres. Last time the injury was not recognised until awake in recovery - 13 litres!
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