Use of inferior epigastric artery embolization to arrest bleeding at operative laparoscopy.
OBJECTIVE
To describe an innovative approach of embolization of the inferior epigastric artery after vascular trauma due to lateral trocar insertion at operative laparoscopy.


METHODS
Case report.


METHODS
Operating theater and interventional radiology suite of a university hospital.


METHODS
A 26-year-old woman with polycystic ovaries refractory to clomiphene citrate undergoing laparoscopic ovarian drilling.


METHODS
Percutaneous selective left external iliac and left inferior epigastric angiography followed by embolization with platinum microcoils and polyvinyl alcohol.


METHODS
Satisfactory hemostasis following traumatic injury to the inferior epigastric artery.


RESULTS
Hemostasis was achieved using a novel interventive radiologic approach of embolization of the inferior epigastric artery after conventional surgical techniques had failed.


CONCLUSIONS
Arterial embolization is a novel additional measure in the armamentarium of the laparoscopic surgeon faced with intractable bleeding from the inferior epigastric vessels.
Lavery
Stuart
S
Department of Reproductive Medicine, Hammersmith Hospital, London, United Kingdom. stuart.laery@imperial.ac.uk
Porter
Stephen
S
Trew
Geoffrey
G
Margara
Raul
R
Jackson
James
J
D000328:Adult; D004621:Embolization, Therapeutic / Q000379:methods*; D019074:Epigastric Arteries; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D016896:Treatment Outcome