Vascular injury following open or laparoscopic gynaecological procedures is relatively rare but when they occur can be catastrophic. During laparoscopic surgery the commonest vessel to be injured is the iliac arteries and in case of significant trauma a vascular surgeon should be involved for adequate management. The commonest cause of adverse sequel from vascular injury is due to a failure to ask for help at an early stage. This chapter deals with litigation relating to vascular injury occurring during gynecological surgery.
KeywordsVascular injury Laparoscopic entry complications Arterial suture Massive haemorrhage Postoperative ischaemia
- 4.Royal College of Obstetricians and Gynaecologists Standards for Gynaecology Care. Providing quality care for women. RCOG London; 2016.Google Scholar
- 5.National Institute for Health and Care Excellence Clinical Guideline 92. Venous thromboembolism: reducing the risk for patients in hospital; 2010. nice.org.uk/guidance/cg92.
- 6.Davidson BL, Elliott CG, Lensing WA. Low accuracy of colour Doppler ultrasound in the detection of proximal leg vein thrombosis in asymptomatic high-risk patients. Am Coll Phys. 1992;117:735–8.Google Scholar
- 7.Royal College of Obstetricians and Gynaecologists. Green-top Guideline No. 49. Preventing entry-related gynaecological laparoscopic injuries. RCOG London; 2008.Google Scholar
- 9.Royal College of Nursing Clinical Practice Guidelines. Pressure ulcer risk assessment and prevention. RCN London; 2003.Google Scholar
- 10.Society of Obstetricians and Gynaecologist of Canada Clinical Practice Guideline. Laparoscopic entry: a review of techniques, technologies and complications. JOGC. 2007;193:433–47.Google Scholar
- 11.Ahmad G, Duffy JMN, Phillips K, Watson A. Laparoscopic entry techniques (protocol). Cochrane Database Syst Rev 2007; (3): CD006583. https://doi.org/10.1002/14651858.CD006583.