Delayed recognition of major vascular injury during laparoscopy

Elad Leron, Benjamin Piura, Eric Ohana, Moshe Mazor

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

We report an unusual case of left common iliac artery and vein injury during laparoscopy. The injury was recognized 3 h after the completion of the laparoscopy. The patient was promptly treated by explorative laparotomy and repair of the lacerated vessels. Major vascular injury during laparoscopy is usually caused by the Verres needle or the first laparoscopic trocar. Failure to recognize the injury during the laparoscopic procedure itself can be attributed to the intraperitoneal CO 2 pressure compressing the bleeding vessels and to the decreased venous return caused by the steep Trendelenburg position. Major vascular injury should be recognized as early as possible since it is a life threatening condition that necessitates immediate and prompt treatment.

Original languageEnglish
Pages (from-to)91-93
Number of pages3
JournalEuropean Journal of Obstetrics, Gynecology and Reproductive Biology
Volume79
Issue number1
DOIs
StatePublished - 1 Jul 1998
Externally publishedYes

Keywords

  • Blood vessel injury
  • Laparoscopy
  • Retroperitoneal hematoma

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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