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Management of iliofemoral vein injury during open inguinal hernia repair
BACKGROUND: Vascular injuries during inguinal hernia repair are rarely reported. Especially in children, we have little information about vascular management. CASE REPORT: In this article, we present a 6-year-old girl with right iliac vein ligation during inguinal hernia repair who was referred to o...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931612/ https://www.ncbi.nlm.nih.gov/pubmed/36819841 http://dx.doi.org/10.48305/arya.2022.16300 |
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author | Farhanchi, Afshin Bazrafshan, Maziar Sadeghi-Ghahareh, Maryam |
author_facet | Farhanchi, Afshin Bazrafshan, Maziar Sadeghi-Ghahareh, Maryam |
author_sort | Farhanchi, Afshin |
collection | PubMed |
description | BACKGROUND: Vascular injuries during inguinal hernia repair are rarely reported. Especially in children, we have little information about vascular management. CASE REPORT: In this article, we present a 6-year-old girl with right iliac vein ligation during inguinal hernia repair who was referred to our center and managed at the day of surgery. We recommended prior surgeon to order therapeutic heparin in dispatch time. The patient was treated with primary anastomosis of iliac vein and was admitted to pediatric intensive care unit (PICU). On the day following the operation, she had minimal dyspnea with low oxygen saturation and the investigations revealed pulmonary micro-embolization. Blood flow in lower extremity was normal and after a few days, she was discharged with good health and oral anticoagulation. CONCLUSION: Any unusual bleeding at the time of inguinal hernia repair should be considered as major vascular injury by the surgeon, and to prevent more injuries, minimum attempt must be performed to control the bleeding. |
format | Online Article Text |
id | pubmed-9931612 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-99316122023-02-17 Management of iliofemoral vein injury during open inguinal hernia repair Farhanchi, Afshin Bazrafshan, Maziar Sadeghi-Ghahareh, Maryam ARYA Atheroscler Case Report BACKGROUND: Vascular injuries during inguinal hernia repair are rarely reported. Especially in children, we have little information about vascular management. CASE REPORT: In this article, we present a 6-year-old girl with right iliac vein ligation during inguinal hernia repair who was referred to our center and managed at the day of surgery. We recommended prior surgeon to order therapeutic heparin in dispatch time. The patient was treated with primary anastomosis of iliac vein and was admitted to pediatric intensive care unit (PICU). On the day following the operation, she had minimal dyspnea with low oxygen saturation and the investigations revealed pulmonary micro-embolization. Blood flow in lower extremity was normal and after a few days, she was discharged with good health and oral anticoagulation. CONCLUSION: Any unusual bleeding at the time of inguinal hernia repair should be considered as major vascular injury by the surgeon, and to prevent more injuries, minimum attempt must be performed to control the bleeding. Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2022-03 /pmc/articles/PMC9931612/ /pubmed/36819841 http://dx.doi.org/10.48305/arya.2022.16300 Text en © 2022 Isfahan Cardiovascular Research Center & Isfahan University of Medical Sciences https://creativecommons.org/licenses/by-nc/3.0/This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly. |
spellingShingle | Case Report Farhanchi, Afshin Bazrafshan, Maziar Sadeghi-Ghahareh, Maryam Management of iliofemoral vein injury during open inguinal hernia repair |
title | Management of iliofemoral vein injury during open inguinal hernia repair |
title_full | Management of iliofemoral vein injury during open inguinal hernia repair |
title_fullStr | Management of iliofemoral vein injury during open inguinal hernia repair |
title_full_unstemmed | Management of iliofemoral vein injury during open inguinal hernia repair |
title_short | Management of iliofemoral vein injury during open inguinal hernia repair |
title_sort | management of iliofemoral vein injury during open inguinal hernia repair |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931612/ https://www.ncbi.nlm.nih.gov/pubmed/36819841 http://dx.doi.org/10.48305/arya.2022.16300 |
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