Primary Laparoscopic Repair of Iatrogenic Rectal Perforation during Total Laparoscopic Hysterectomy Using an Endoscopic Automatic Anastomotic Device: A Case Report and Literature Review

Background: Rectal injuries are the most severe complications of gynecologic surgeries, especially total laparoscopic hysterectomy. In several cases, an ileostomy is performed as a lifesaving procedure. Recently, studies have suggested that primary repair should be attempted for all cases intraperitoneal rectal injuries. To best our knowledge, previous case reports not discussed specific injury involving layers. Case: We report perforation during hysterectomy and bilateral salpingo-oophorectomy was laparoscopically repaired using automatic anastomosis device. Conclusions: A may if bowel adequately prepared preoperatively skilled surgeon present.