Objective: To describe an innovative approach of embolization of the inferior epigastric artery after vascular trauma due to lateral trocar insertion at operative laparoscopy.
Design: Case report.
Setting: Operating theater and interventional radiology suite of a university hospital.
Patient(s): A 26-year-old woman with polycystic ovaries refractory to clomiphene citrate undergoing laparoscopic ovarian drilling.
Intervention(s): Percutaneous selective left external iliac and left inferior epigastric angiography followed by embolization with platinum microcoils and polyvinyl alcohol.
Main Outcome Measure(s): Satisfactory hemostasis following traumatic injury to the inferior epigastric artery.
Result(s): Hemostasis was achieved using a novel interventive radiologic approach of embolization of the inferior epigastric artery after conventional surgical techniques had failed.
Conclusion(s): Arterial embolization is a novel additional measure in the armamentarium of the laparoscopic surgeon faced with intractable bleeding from the inferior epigastric vessels.
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| http://dx.doi.org/10.1016/j.fertnstert.2006.01.054 | DOI Listing |
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