[Injury of the femoral vein during surgery of a femoral hernia].
In a 38-year-old female patient during surgery of a femoral hernia by the crural approach injury-two stitches of the femoral vein occurred which was not noticed during surgery. After surgery a haematoma developed in the wound from lacerarion of the venous wall. The haematoma was evacuated and the wound healed secondarily. From the first postoperative day swelling of the thigh and foreknee. This finding called after some time for a duplex sonographic and phlebographic examination. Stenosis of the femoral vein, 35 mm in length, and with a 3 mm diameter of the vein was found. Three months after injury of the vein re-operation was performed. During the latter the stitches which stenotized the vein were released and a partial resection of the inguinal ligament was made. Shortly after surgery the oedema receded and the stenosis dilated to a diameter of 8 mm. At present the patient has no complaints.
Bencúr
O
O
Chirurgické oddelenie, Ustredná vojenská nemocnica SNP, Ruzomberok, Slovenská republika.
D000328:Adult; D003251:Constriction, Pathologic; D005260:Female; D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000293:injuries*; D006550:Hernia, Femoral / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D011859:Radiography