title: Innovative Technique of Vascular Repair in Intra-Operative IVC Rupture During Lumbar Microdiscectomy: A Case Report.
abstract: BACKGROUND
  Major vascular injury during a spinal surgery is a rare but most dreaded complication.
  
  
  METHODS
  A 39 years old female undergoing microscopic lumbar discectomy suddenly developed severe hypotension on table. The procedure was abandoned and the patient turned supine. It was diagnosed to be a major vessel tear and the patient was taken up for immediate successful vascular repair. To best of our knowledge such a repair procedure has not been described in literature.
  
  
  CONCLUSIONS
  Majority of such vascular injuries are dealt with primary repair of the defect by a vascular surgeon; however in our case the rent was big and placed on the undersurface making it very difficult for the vascular surgeon to approach or repair it primarily.
authors.affiliation: Primus Super Specialty Hospital, Chankayapuri, New Delhi, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Singh
authors.affiliation: Primus Super Specialty Hospital, Chankayapuri, New Delhi, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Bhanot
authors.affiliation: Primus Super Specialty Hospital, Chankayapuri, New Delhi, India.
authors.forename: Nipun
authors.initials: N
authors.lastname: Bajaj
authors.affiliation: Primus Super Specialty Hospital, Chankayapuri, New Delhi, India.
authors.forename: Pooja
authors.initials: P
authors.lastname: Rustagi
keywords: Anastomosis; Inferior Vena Cava Rupture; Microdiscectomy Complications; Vascular Bypass; Vascular Injury