Common iliac artery injury during the abdominal entry phase of gynecologic laparoscopy: a case report.
BACKGROUND
Although not frequent, major vascular injury (MVI) during laparoscopy in gynecologic surgery can cause a sharp increase in morbidity and mortality.


METHODS
During the abdominal entry stage of operative laparoscopy, perforation of the left common iliac artery occurred. Prolonged hiccups might have played a role.


CONCLUSIONS
Entry into the abdominal cavity during laparoscopy should be performed with the safer, controlled technique. In spite of the fact that no surgical procedure or de- * vice is absolutely foolproof, the laparoscopic abdominal approach should be performed with the technique that maximally reduces the likelihood of MVI. Once a major vascular injury is recognized or suspected, immediate conversion to laparotomy should be considered.
Rullo
Sandro
S
Section of Gynecology and Obstetrics, Department of Surgery, Azienda Ospedaliera Universitaria "Policlinico Tor Vergata, Rome, Italy. sandro.rullo@tin.it
Ticconi
Carlo
C
Marchetti
Andrea Ascoli
AA
Grande
Michele
M
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D007083:Iliac Artery / Q000293:injuries*; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000009:adverse effects*; D007813:Laparotomy / Q000379:methods*; D010048:Ovarian Cysts / Q000601:surgery*; D016896:Treatment Outcome