Arterial surgery in Scandinavia

Obstetrical & Gynecological Survey

1988

Self Cite

Absfruct. Iatrogenic vascular injuries are common in the civilian western world. The frequency seen following gynecologic surgery is not known and a questionnaire was therefore sent to all gynecologic clinics in Sweden undertaking surgery, to establish the frequency during a 5-year period and to analyse the types of injury. Case reports in the literature were also analysed. The frequencies per loo00 operations were: after laparoscopy, 0.93, after laparotomy, 0.76 and after major vaginal surgery, 0.33. All laparoscopic injuries were localized to the iliac arteries, caused bleeding, and were treated with arterial suture without complications or late sequelae. Injuries during laparotomy were most frequently venous and all patients had hemorrhage as the main symptom. In one case the external iliac vein was ligated, with immediate postoperative swelling, and in another case the external iliac artery was ligated, after which the patient developed postoperative ischemia. The internal iliac veins were ligated, and the other vessels reconstructed. There was no mortality, but a high rate of morbidity, also with late sequelae.

Section: Discussionmentioning

confidence: 98%

Vascular Injuries during Gynecologic Surgery

Obstetrical & Gynecological Survey

1988

Self Cite

“…While trauma has been a rare indication for vascular surgery in Sweden 1,2 reports indicate that the incidence of civil vascular injuries is increasing, mostly a result of increasing numbers of iatrogenic vascular injuries (IVIs). 3,4 This increase seems to be associated with the introduction of percutaneous transluminal angioplasty and cardiac catheterization 5,6 and studies show that the increasing number of percutaneous arterial interventions is the principal cause of IVI.…”

Section: Introductionmentioning

confidence: 99%

Iatrogenic Vascular Injuries in Sweden. A Nationwide Study 1987–2005

Rudström

European Journal of Vascular and Endovascular Surgery

Ögren

et al. 2008

“…This survey gives for the first time the incidence of vascular injuries during gynecologic surgery. The incidence of 3 per year in Sweden corresponds to 3% of all vascular injuries in the country (10). During the period studied in this paper, there was no fatal outcome.…”

Section: Discussionmentioning

confidence: 66%

Vascular Injuries During Gynecologic Surgery

Acta Obstet Gynecol Scand

1987

Self Cite

Iatrogenic vascular injuries are common in the civilian western world. The frequency seen following gynecologic surgery is not known and a questionnaire was therefore sent to all gynecologic clinics in Sweden undertaking surgery, to establish the frequency during a 5-year period and to analyse the types of injury. Case reports in the literature were also analysed. The frequencies per 10,000 operations were: after laparoscopy, 0.93, after laparotomy, 0.76 and after major vaginal surgery, 0.33. All laparoscopic injuries were localized to the iliac arteries, caused bleeding, and were treated with arterial suture without complications or late sequelae. Injuries during laparotomy were most frequently venous and all patients had hemorrhage as the main symptom. In one case the external iliac vein was ligated, with immediate postoperative swelling, and in another case the external iliac artery was ligated, after which the patient developed postoperative ischemia. The internal iliac veins were ligated, and the other vessels reconstructed. There was no mortality, but a high rate of morbidity, also with late sequelae.