[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-496327-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-496327-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","iatrogenic-major-vascular-injury-during-lumbar-discectomy-report-of-three-cases","Iatrogenic Major Vascular Injury During Lumbar Discectomy - Report of Three Cases","","Iatrogenic vascular injury is a rare but potentially fatal complication during lumbar disc surgery when not recognized immediately. The report presents three cases occurring during lumbar discectomy: sudden intraoperative or early postoperative hypotension leading to emergency identification of common iliac artery and/or iliac vein injuries. Management included primary repair, iliac vein ligation, and reconstruction using PTFE graft interposition. One patient died from disseminated intravascular coagulation after massive transfusion; another developed pulmonary embolus but recovered with anticoagulation; the last was discharged uneventfully with favorable follow-up.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/iatrogenic-major-vascular-injury-during-lumbar-discectomy-report-of-three-cases/496327/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/iatrogenic-major-vascular-injury-during-lumbar-discectomy-report-of-three-cases/496327.png","ImageObject",300,407,{"name":42,"@type":43},"lilac","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-29","2026-10-02",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",7,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why are iatrogenic vascular injuries during lumbar discectomy considered dangerous?","Question",{"text":63,"@type":64},"They are rarely seen but can be fatal if not identified instantly. Major injury may rapidly lead to shock or early postoperative ischemia.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What injuries were found and how were they managed in the first case?",{"text":68,"@type":64},"Sudden hypotension led to emergency laparotomy revealing left common iliac artery and bilateral common iliac vein injuries. All vascular injuries were repaired primarily, but the patient died early from disseminated intravascular coagulation related to massive transfusion.",{"name":70,"@type":61,"acceptedAnswer":71},"What treatment was used for the third case and what was the outcome?",{"text":72,"@type":64},"Left common iliac artery injury causing leg ischemia was diagnosed clinically, and reconstruction used PTFE graft interposition with partial arterial resection. The patient was discharged without any problem, and two cases were reported as well on long-term follow-up.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},496327,1792224498,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":55,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":33,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":123,"preview_page_count":4},3985747861865,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Received: 29.06.2011 / Accepted: 12.12.2011  \nDOI: 10.5137/1019-5149.JTN.4930-11.1  \nIatrogenic Major Vascular Injury During Lumbar Discectomy: Report of Three Cases  \nLomber Disk Cerrahisi Sırasında İyatrojenik Damar Yaralanmaları:Üç Olgunun Sunumu  \nMetin KEsKıN, Kursat Rahmi sERıN, Fatih Ata GENc, Murat AKsoy, Fatih yANAR, Mehmet KuRToGlu  \nIstanbul University, Istanbul Faculty of Medicine, Department of General Surgery, Fatih, Istanbul, Turkey  \n[Corresponding Author: Metin KesKIn /](Corresponding Author: Metin KesKIn / E-mail: mtnkeskin@yahoo.com)[ E-mail: mtnkeskin@yahoo.com](Corresponding Author: Metin KesKIn / E-mail: mtnkeskin@yahoo.com)  \nABSTRACT  \nIatrogenic vascular injury rarely occurs during lumbar disc surgery and can be fatal if it is not recognized instantly. In this paper we aim to introduce three iatrogenic vascular injuries that occurred during the lumbar disc surgery. The first case was consulted because of the sudden hypotension attack during lumbar disc surgery. The left common iliac artery and bilateral common iliac vein injuries were detected in emergency laparotomy, and repaired primarily. The second case was consulted to our clinic because of the hypotension attack at the first postoperative day. Left common iliac artery and vein injuries were diagnosed by CT angiography. Left common iliac vein was ligated and left common iliac arterial injury was repaired primarily by laparotomy. The third case was referred to our clinic for left lower extremity ischemia. Left common iliac artery injury was diagnosed by simple physical examination. Reconstruction by PTFE graft interposition was performed. The first patient died due to disseminated intravascular coagulation at the early postoperative period. Pulmonary embolus developed in the iliac vein ligated patient but was well treated by anticoagulant therapy. The last patient was discharged without any problem. Two of the patients are well on long-term follow-up.  \nKeywoRds: Discectomy, Vascular injury, Reconstruction, Ven ligation  \nÖZ  \nLomber disk cerrahisi sırasında iyatrojenik damar yaralanmaları, ender görülen ve geç fark edildiğinde mortaliteye neden olabilen birkomplikasyondur. Bu yazımızda, lomber fıtık disk cerrahisi esnasında oluşan iyatrojenik damar yaralanması nedeniyle ameliyat ettiğimiz üç olguyu sunmayı amaçladık. İlk olgu lomber herniektomi girişimi sırasında gelişen ani hipotansiyon nedeniyle konsülte edildi. Tanısal laparotomide sol ana iliak arter yaralanması, bilateral ana iliak ven yaralanması tespit edildi ve primer tamir yapıldı . Ameliyat sonrası (AS) birinci günde gelişen hipotansiyon nedeniyle kliniğimize sevk edilen ikinci olguda sol ana iliak arter ve ven yaralanması saptandı. Ana iliak ven ligasyonu ve ana iliak artere primer tamir yapıldı. Alt ekstremitede iskemik bulgular nedeniyle kliniğimize sevk edilen üçüncü olguda da sol ana iliak arter yaralanması saptayarak, kısmi arter rezeksiyonu ve PTFE (politetrafloretilen) greft interposizyonu uygulandı . İlk hasta ameliyat sonrası erken dönemde dissemine intravasküler koagulasyon nedeniyle kaybedilirken , diğer iki hasta ise şifa ile taburcu edildi.  \nANAHTAR sÖZCÜKLeR: Diskektomi, Damar yaralanması, Rekonstrüksiyon, Ven ligasyonu  \nInTRoduCTIon  \nIatrogenic vascular injury during lumber discectomy ranges from about 0.01 to 0. 1% (13,4,12,18,9), but it is a lifethreatening complication (3,4,12) . Major vascular injury can lead to retroperitoneal hematoma, hypovolemic shock or lower extremity ischemia in the early postoperative period. If it is asymptomatic or cannot be identified, it can present with arteriovenous fistula (AVF) or pseudoaneurysm in the late postoperative period (1,3,4,12,13). In this paper, we discussed three cases that were emerged for iatrogenic vascular injury during lumbar discectomy.  \nCASE REPoRTS  \nCase 1  \nA 20-year-old female patient was consulted for hypotension  \nand tachycardia attack after the earliest period of lumber herniectomy. Peroperative blood pr","cbCaieUCIw0UVPGO","https://ap.wps.com/l/cbCaieUCIw0UVPGO","pdf",239134,"English","# ABSTRACT\n# CASE REPORTS\n## Case 1\n## Case 2\n## Case 3","[{\"question\":\"Why are iatrogenic vascular injuries during lumbar discectomy considered dangerous?\",\"answer\":\"They are rarely seen but can be fatal if not identified instantly. Major injury may rapidly lead to shock or early postoperative ischemia.\"},{\"question\":\"What injuries were found and how were they managed in the first case?\",\"answer\":\"Sudden hypotension led to emergency laparotomy revealing left common iliac artery and bilateral common iliac vein injuries. All vascular injuries were repaired primarily, but the patient died early from disseminated intravascular coagulation related to massive transfusion.\"},{\"question\":\"What treatment was used for the third case and what was the outcome?\",\"answer\":\"Left common iliac artery injury causing leg ischemia was diagnosed clinically, and reconstruction used PTFE graft interposition with partial arterial resection. The patient was discharged without any problem, and two cases were reported as well on long-term follow-up.\"}]","Iatrogenic Major Vascular Injury During Lumbar Discectomy - Report of Three Cases | PDF",1790930863]