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Recognition and management of major vessel injury during laparoscopy.

Publication ,  Journal Article
Sandadi, S; Johannigman, JA; Wong, VL; Blebea, J; Altose, MD; Hurd, WW
Published in: J Minim Invasive Gynecol
2010

Laparoscopy is one of the most commonly performed procedures in the United States. Injury to a major retroperitoneal vessel occurs in 0.3% to 1.0% of procedures, most commonly during laparoscopic entry while placing the Veress needle or primary trocar. Fatal outcome can be related to massive gas embolism or exsanguination. Recommended treatment for gas embolism can range from supportive measures to external chest compression and insertion of a central line to withdraw gas from the right side of the heart. Recommended treatment of major vessel injury with massive hemorrhage consists of rapid laparotomy and control of hemorrhage using direct pressure until a surgeon experienced in vascular procedures arrives. When a major vessel injury occurs in a surgical facility distant from a medical center and without an available surgeon with vascular experience, based on the trauma literature, we recommend temporary control of blood loss using abdominal packing and closure (i.e., "damage control surgery") and judicious resuscitation (i.e., "damage control resuscitation") before transportation to a medical center.

Duke Scholars

Published In

J Minim Invasive Gynecol

DOI

EISSN

1553-4669

Publication Date

2010

Volume

17

Issue

6

Start / End Page

692 / 702

Location

United States

Related Subject Headings

  • Retroperitoneal Space
  • Obstetrics & Reproductive Medicine
  • Laparoscopy
  • Intraoperative Complications
  • Iliac Vein
  • Iliac Artery
  • Humans
  • Aorta, Abdominal
  • 3215 Reproductive medicine
  • 1114 Paediatrics and Reproductive Medicine
 

Citation

APA
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ICMJE
MLA
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Sandadi, S., Johannigman, J. A., Wong, V. L., Blebea, J., Altose, M. D., & Hurd, W. W. (2010). Recognition and management of major vessel injury during laparoscopy. J Minim Invasive Gynecol, 17(6), 692–702. https://doi.org/10.1016/j.jmig.2010.06.005
Sandadi, Samith, Jay A. Johannigman, Virginia L. Wong, John Blebea, Michael D. Altose, and William W. Hurd. “Recognition and management of major vessel injury during laparoscopy.J Minim Invasive Gynecol 17, no. 6 (2010): 692–702. https://doi.org/10.1016/j.jmig.2010.06.005.
Sandadi S, Johannigman JA, Wong VL, Blebea J, Altose MD, Hurd WW. Recognition and management of major vessel injury during laparoscopy. J Minim Invasive Gynecol. 2010;17(6):692–702.
Sandadi, Samith, et al. “Recognition and management of major vessel injury during laparoscopy.J Minim Invasive Gynecol, vol. 17, no. 6, 2010, pp. 692–702. Pubmed, doi:10.1016/j.jmig.2010.06.005.
Sandadi S, Johannigman JA, Wong VL, Blebea J, Altose MD, Hurd WW. Recognition and management of major vessel injury during laparoscopy. J Minim Invasive Gynecol. 2010;17(6):692–702.
Journal cover image

Published In

J Minim Invasive Gynecol

DOI

EISSN

1553-4669

Publication Date

2010

Volume

17

Issue

6

Start / End Page

692 / 702

Location

United States

Related Subject Headings

  • Retroperitoneal Space
  • Obstetrics & Reproductive Medicine
  • Laparoscopy
  • Intraoperative Complications
  • Iliac Vein
  • Iliac Artery
  • Humans
  • Aorta, Abdominal
  • 3215 Reproductive medicine
  • 1114 Paediatrics and Reproductive Medicine