Laparoscopic management of external iliac vein injury

Abstract

A 57-year-old white woman was referred to our division for incomplete surgically staged endometrial cancer. She was taken to the operating room for laparoscopic surgical staging. Incidental right external vein injury occurred during pelvic lymphadenectomy. Video 1 shows an incidental thermal full thickness injury of right external iliac vein and repairing it laparoscopically during a pelvic lymphadenectomy procedure. A 3 mm laceration to the right external iliac vein occurred while right pelvic lymphadenectomy (Figure 1). After immediate clamping of the injury site with graspers, the laceration on the right external iliac vein was primarily repaired by use of a running intracorporeal 4-0 polypropylene suture (Figure 2). The insufflation pressure was increased to 20 mmHg for the duration of primary repair for 60 seconds to limit the hemorrhage. The patient was not obese and her body mass index (BMI) was 24.