6533b7d3fe1ef96bd1260b95

RESEARCH PRODUCT

Laparoscopic Management of External Iliac Artery Injury Using Yasargil Clamps and Intracorporeal Suture

Giuseppe Filiberto VercellinoMagdalena StraubeAchim SchneiderEvrim ErdemogluEvrim ErdemogluVito Chiantera

subject

Adultmedicine.medical_specialtymedicine.medical_treatmentMajor vascular injuryVascular occlusionIliac ArterySurgical InstrumentInjury SiteLaparotomymedicine.arterySuture TechniquemedicineHumansLaparoscopyLymphadenectomy; Major vascular injury; Yasargil clampVascular Surgical ProcedureSurgical repairIntracorporeal suturemedicine.diagnostic_testbusiness.industryGeneral surgerySuture TechniquesExternal iliac arteryObstetrics and GynecologyLymphadenectomySurgical Instrumentsmedicine.diseaseThrombosisSettore MED/40 - Ginecologia E OstetriciaSurgeryYasargil clampLymphadenectomyLaparoscopyFemalemedicine.symptombusinessVascular Surgical ProceduresHuman

description

Presented is a case report of laparoscopic repair of an external iliac artery injury using titanium Yasargil clamps and intracorporeal suture during lymphadenectomy. Yasargil clamps were introduced and placed, 1 distal and 1 proximal to the lesion. The vascular injury site was identified and repaired using intracorporeal sutures. Laparoscopic staging was completed successfully. No sign of thrombosis or vascular occlusion was detected. The patient was discharged on postoperative day 4 to receive adjuvant therapy. Laparotomy is the accepted way of managing major vascular injuries during laparoscopy. However, in controlled circumstances, with availability of Yasargil clamps and a surgeon experienced with intracorporeal suturing, immediate laparoscopic repair of major vascular injury is feasible and is a safe alternative to open surgical repair. © 2011 AAGL.

yearjournalcountryeditionlanguage
2011-01-01
10.1016/j.jmig.2011.03.005http://hdl.handle.net/10447/179448