title: Left internal iliac artery and vein tear during microendoscopic lumbar discectomy - a case report.
abstract: As minimally invasive techniques have gained popularity across surgical specialties, microendoscopic discectomy has been hailed as one of the newest and best methods for disc removal. Although problems are unusual and infrequent, the complications that can be associated with this procedure should be realized. Iatrogenic major vascular injury is a rare but serious complication during microendoscopic discectomy, and early detection is difficult due to the surgical positions, the specific anatomy of the spine, and the subtle changes of signs and symptoms the patient manifests. Here, we present a female patient who suffered from left internal iliac artery and vein tear during microendoscopic lumbar discectomy. We conclude that both surgeons and anesthesiologists should be aware of the possibility of this complication during surgery. When this complication occurs, it is vitally important that the correct crisis resolution protocols, such as proper massive transfusion algorithm and successful surgical interventions, be applied immediately during the critical period.
authors.affiliation: Department of Anaesthesiology, Show Chwan Memorial Hospital, Changua, Taiwan, ROC.
authors.forename: Chung-Pei
authors.initials: CP
authors.lastname: Chang
authors.forename: Wei-Shih
authors.initials: WS
authors.lastname: Lee
authors.forename: Shu-Chuan
authors.initials: SC
authors.lastname: Lee
mesh_terms: D000328:Adult; D001803:Blood Transfusion; D017587:Diskectomy, Percutaneous / Q000009:adverse effects*; D004724:Endoscopy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000293:injuries*; D007084:Iliac Vein / Q000293:injuries*; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008159:Lumbar Vertebrae; D008866:Microsurgery / Q000009:adverse effects