title: Use of inferior epigastric artery embolization to arrest bleeding at operative laparoscopy.
abstract: 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.
authors.affiliation: Department of Reproductive Medicine, Hammersmith Hospital, London, United Kingdom. stuart.laery@imperial.ac.uk
authors.forename: Stuart
authors.initials: S
authors.lastname: Lavery
authors.forename: Stephen
authors.initials: S
authors.lastname: Porter
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Trew
authors.forename: Raul
authors.initials: R
authors.lastname: Margara
authors.forename: James
authors.initials: J
authors.lastname: Jackson
mesh_terms: 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