title: Common iliac artery injury during the abdominal entry phase of gynecologic laparoscopy: a case report.
abstract: 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.
authors.affiliation: Section of Gynecology and Obstetrics, Department of Surgery, Azienda Ospedaliera Universitaria "Policlinico Tor Vergata, Rome, Italy. sandro.rullo@tin.it
authors.forename: Sandro
authors.initials: S
authors.lastname: Rullo
authors.forename: Carlo
authors.initials: C
authors.lastname: Ticconi
authors.forename: Andrea Ascoli
authors.initials: AA
authors.lastname: Marchetti
authors.forename: Michele
authors.initials: M
authors.lastname: Grande
mesh_terms: 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