Iatrogenic vascular injury during to lumbar disc surgery

Erkut B., Unlu Y., Kaygin M. A., Colak A., Erdem A. F.

ACTA NEUROCHIRURGICA, sa.5, ss.511-516, 2007 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Basım Tarihi: 2007
  • Doi Numarası: 10.1007/s00701-007-1132-2
  • Dergi Adı: ACTA NEUROCHIRURGICA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.511-516
  • Anahtar Kelimeler: vascular injury, iatrogenic, lumbar disc surgery, ARTERIOVENOUS-FISTULA, VISCERAL INJURIES, OUTCOME ANALYSIS, ILIAC ARTERY, COMPLICATIONS, DISKECTOMY, LAMINECTOMY, COINCIDENT, DISCECTOMY, OPERATION
  • Atatürk Üniversitesi Adresli: Evet

Özet

We report two patients who sustained vascular injury while undergoing intervertebral disc surgery at the lumbar four and five level. Each patient suffered from massive bleeding and shock, urgent laparatomy was performed, and the vascular injuries were successfully primarily repaired. The experience prompted us to review reports in the literature since 1965 of vascular complications associated with surgical excision of hernia disc via a posterior approach. From our analysis, we highlight the clinical features and management, emphasising that rapid diagnosis and immediate intervention can result in a favourable outcome, as in our patients.