BACKGROUND: Although not frequent, major vascular injury (MVI) during laparoscopy in gynecologic surgery can cause a sharp increase in morbidity and mortality. CASE: During the abdominal entry stage of operative laparoscopy, perforation of the left common iliac artery occurred. Prolonged hiccups might have played a role. CONCLUSION: Entry into the abdominal cavity during laparoscopy should be performed with the safer, controlled technique. In spite of the fact that no surgical procedure or de- * vice is absolutely foolproof, the laparoscopic abdominal approach should be performed with the technique that maximally reduces the likelihood of MVI. Once a major vascular injury is recognized or suspected, immediate conversion to laparotomy should be considered.

Rullo, S., Ticconi, C., ASCOLI MARCHETTI, A., Grande, M. (2007). Common iliac artery injury during the abdominal entry phase of gynecologic laparoscopy: a case report. JOURNAL OF REPRODUCTIVE MEDICINE, 52(11), 1052-1054.

Common iliac artery injury during the abdominal entry phase of gynecologic laparoscopy: a case report

TICCONI, CARLO;ASCOLI MARCHETTI, ANDREA;GRANDE, MICHELE
2007-11-01

Abstract

BACKGROUND: Although not frequent, major vascular injury (MVI) during laparoscopy in gynecologic surgery can cause a sharp increase in morbidity and mortality. CASE: During the abdominal entry stage of operative laparoscopy, perforation of the left common iliac artery occurred. Prolonged hiccups might have played a role. CONCLUSION: Entry into the abdominal cavity during laparoscopy should be performed with the safer, controlled technique. In spite of the fact that no surgical procedure or de- * vice is absolutely foolproof, the laparoscopic abdominal approach should be performed with the technique that maximally reduces the likelihood of MVI. Once a major vascular injury is recognized or suspected, immediate conversion to laparotomy should be considered.
nov-2007
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/18 - CHIRURGIA GENERALE
Settore MED/22 - CHIRURGIA VASCOLARE
English
Con Impact Factor ISI
treatment outcome; laparoscopy; iliac artery; female; ovarian cysts; gynecologic surgical procedures; laparotomy; adult; intraoperative complications; humans
Rullo, S., Ticconi, C., ASCOLI MARCHETTI, A., Grande, M. (2007). Common iliac artery injury during the abdominal entry phase of gynecologic laparoscopy: a case report. JOURNAL OF REPRODUCTIVE MEDICINE, 52(11), 1052-1054.
Rullo, S; Ticconi, C; ASCOLI MARCHETTI, A; Grande, M
Articolo su rivista
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/18019
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 4
  • ???jsp.display-item.citation.isi??? 3
social impact