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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 2 eISSN:  pISSN

Original Article

Laparoscopic Management of Inferior epigastric vessel injury

Warty Neeta R1, Sawant Rajkishor M2 , Werty Tanvi R3 

1 Consultant Gynaecologist, Surya Mother and Child Care, Santacruz (W), Mumbai,

2 Associate Gynaecological Endoscopic Surgeon, Sanjeevani Gynaecological Endoscopic Center, Mumbai,

3 Sanjeevani Gynaecological Endoscopic Center, Mumbai

Dr Neeta Werty

Sanjeevani Gynaecological Endoscopic Center

Alakananda Apartments, Dattani Park

Kandivali (E), Mumbai 400 101

drneetawarty@gmail.com

Received Date: 2018-06-09,
Accepted Date: 2018-07-21,
Published Date: 2019-07-31
Year: 2018, Volume: 8, Issue: 3, Page no. 23-26, DOI: 10.26463/rjms.8_3_7
Views: 661, Downloads: 4
Licensing Information:
CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

A 18 years young adult female diagnosed as left ovarian dermoid cyst underwent laparoscopic ovarian cystectomy. There was evidence of a hematoma at the Verres needle entry at Palmers point which slowly got extended to the midline. Local cauterization with bipolar current and a local stitch could not arrest the hemorrhage. Hence the epigastric vessel was traced to the origin and a haemostatic intracorporeal polygalactin suture of no 1 polygalactin 910 was taken at the reflection of the vessels over the anterior abdominal wall and the hemorrhage was controlled. The patient received antibiotics, analgesics, antacids and low molecular weight heparin and made an uneventful recovery. This technique of tackling inferior epigastric vessel bleeds proves to be helpful in refractory cases of inferior epigastric vessel bleeding during laparoscopy

<p>A 18 years young adult female diagnosed as left ovarian dermoid cyst underwent laparoscopic ovarian cystectomy. There was evidence of a hematoma at the Verres needle entry at Palmers point which slowly got extended to the midline. Local cauterization with bipolar current and a local stitch could not arrest the hemorrhage. Hence the epigastric vessel was traced to the origin and a haemostatic intracorporeal polygalactin suture of no 1 polygalactin 910 was taken at the reflection of the vessels over the anterior abdominal wall and the hemorrhage was controlled. The patient received antibiotics, analgesics, antacids and low molecular weight heparin and made an uneventful recovery. This technique of tackling inferior epigastric vessel bleeds proves to be helpful in refractory cases of inferior epigastric vessel bleeding during laparoscopy</p>
Keywords
laparoscopy. Inferior epigastric bleed, polygalactin
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