Laparoscopic Management of Inferior epigastric vessel injury

Abstract

A 18 years young adult female diagnosed as left ovarian dermoid cyst underwent laparoscopic ovarian cystectomy. There was evidence of a hematoma at the Verres needle entry at Palmers point which slowly got extended to the midline. Local cauterization with bipolar current and a local stitch could not arrest the hemorrhage. Hence the epigastric vessel was traced to the origin and a haemostatic intracorporeal polygalactin suture of no 1 polygalactin 910 was taken at the reflection of the vessels over the anterior abdominal wall and the hemorrhage was controlled. The patient received antibiotics analgesics antacids and low molecular weight heparin and made an uneventful recovery. This technique of tackling inferior epigastric vessel bleeds proves to be helpful in refractory cases of inferior epigastric vessel bleeding during laparoscopy