Vascular Complications of Laparoscopic Operations in Gynaecology

Česká verzia

Authors: P. Chaloupka; Z. Rokyta; Z. Novotný; V. Kališ
Authors place of work: Gynekologicko-porodnická klinika LF UK a FN, Plzeň, přednosta doc. MUDr. Z. Rokyta, CSc.
Published in the journal: Ceska Gynekol 2008; 73(2): 102-104

Summary

Objective:
To provide information about vascular complications of laparoscopic operations in gynaecology.

Type of study:
Literature review and case reports.

Setting:
Department of Gynaecology and Obstetrics, Medical faculty, Charles University, Pilsen.

Methods:
Review of literature concerning vascular complications during laparoscopic operations in gynecology and case reports to illustrate the topic.

Conclusion:
Laparoscopic operations are benefiting for patiens. Vascular complications are rare, but their progression is often fatal even for young patients. When such complications occur, their quick treatment is crucial and co-operation with a anaesthesiologist and vascular surgeon is needed.

Key words:
aorta, vena cava inferior, pelvic vessels, epigastric vessels, hemorrhage, shock

Zdroje

1. Barros, BM., Lozano, SF., Queral, L.Vascular injuries during gynecological laparoscopy—the vascular surgeon’s advice. Sao Paulo Med J, 2005, 123, 1, p. 38-41.

2. Bhoyrul, S., Vierra, MA., Nezhat, CR., et al. Trocar injuries in laparoscopic surgery. J Am Coll Surg, 2001,192, 6, p. 677-683.

3. Dixon, M., Carrillo, EH. Iliac vascular injuries during elective laparoscopic surgery. Surg Endosc, 1999, 13, 12, p. 1230-1233.

4. Garry, R. Towards evidence-based laparoscopic entry techniques: Clinical problems and dilemmas. Gynaec Endosc, 1999, 8, p. 315-326.

5. Holub, Z. Klinické problémy a komplikace laparoskopického vstupu. Čes Gynek, 2000, 65, s. 464-470.

6. Hurd, WW., Amesse, LS., Gruber, JS., et al. Visualization of the epigastric vessels and bladder before laparoscopic trokar placement. Fertil Steril, 2003, 80, 1, p. 209-212.

7. Nezhat, F., Mahdavi, A., Nagarsheth, NP. Total laparoscopic radical hysterectomy and pelvic lymphadenectomy using harmonic shears. Minim Invasive Gynecol, 2006, 13, 1, p. 20-25.

8. Novotný, Z., Smitková, V. Národní registr komplikací gynekologické endoskopie.

9. Polyzos, D., Papadopoulos, N., Chapman, L., et al. Where is the aorta? Is it worth palpating the aorta prior to laparoscopy? Acta Obstet Gynecol Scand, 2007, 86, 2, p. 235-239.

10. Possover, M., Krause, N., Plaul, K., et al. Laparoscopic para-aortic and pelvic lymphadenectomy: experience with 150 patients and review of the literature. Gynecol Oncol, 1998, 71, 1, p. 19-28.

11. Ridel, NH., Lehman-Willenbrock, E., Semm, K. German pelviscopic statistics for the years 1978-1982. Endoscopy, 1986, 18, p. 219-222.

12. Saber, AA., Meslemani, AM., Davis, R., Pimentel, R. Safety zones for anterior abdominal wall entry during laparoscopy: a CT scan mapping of epigastric vessels. Ann Surg, 2004, 239, 2, p. 182-185.

13. Schäfer, M., Lauper, M., Krähenbühl, L. Trocar and Veress needle injuries during laparoscopy. Surg Endosc, 2001. 15, 3, p. 275-280.

14. Scribner, DR. Jr., Walker, JL., Johnson, GA., et al. Laparoscopic pelvic and paraaortic lymph node dissection: analysis of the first 100 cases. Gynecol Oncol, 2001, 82, 3, p. 498-503.