Abstract
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.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bergqvist D, Bergqvist A. Vascular injuries durin gynecologic surgery. Acta Obstet Gynecol Scand. 1987;66:19–23.
Harkki-Siren P, Kurki T. A nationwide analysis of laparoscopic complications. Obstet Gynecol. 1997;89:108–12.
Jansen FW, Kapiteyn K, Trimbos-Kemper T, Hermens J, Trimbos JB. Complications of laparoscopy: a prospective multi-centre observational study. Br J Obstet Gynaecol. 1997;104:595–600.
Royal College of Obstetricians and Gynaecologists Standards for Gynaecology Care. Providing quality care for women. RCOG London; 2016.
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.
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.
Royal College of Obstetricians and Gynaecologists. Green-top Guideline No. 49. Preventing entry-related gynaecological laparoscopic injuries. RCOG London; 2008.
Phillips G, Garry R, Kumar C, Reich H. How much gas is required for initial insufflation at laparoscopy? Gynaecol Endosc. 1999;8:369–74.
Royal College of Nursing Clinical Practice Guidelines. Pressure ulcer risk assessment and prevention. RCN London; 2003.
Society of Obstetricians and Gynaecologist of Canada Clinical Practice Guideline. Laparoscopic entry: a review of techniques, technologies and complications. JOGC. 2007;193:433–47.
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.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Beard, J.D. (2018). Vascular Injury. In: Jha, S., Ferriman, E. (eds) Medicolegal Issues in Obstetrics and Gynaecology. Springer, Cham. https://doi.org/10.1007/978-3-319-78683-4_45
Download citation
DOI: https://doi.org/10.1007/978-3-319-78683-4_45
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-78682-7
Online ISBN: 978-3-319-78683-4
eBook Packages: MedicineMedicine (R0)