Vascular injuries during gynecological laparoscopy: the vascular surgeon's advice

Barros, Marcello Barbosa; Lozano, Francisco; Queral, Luis A.

doi:10.1590/s1516-31802005000100009

Cited by 16 publications

(2 citation statements)

References 25 publications

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“…Vascular repairs during gynecologic oncologic surgery are often performed for iatrogenic injuries or during extensive oncologic resections and are increasing in frequency [4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Eradication of Isolated Para-Aortic Nodal Recurrence in a Patient with an Advanced High Grade Serous Ovarian Carcinoma: Our Experience and Review of Literature

Tinelli¹,

Dellino

Nappi

et al. 2022

Medicina

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We report a case report regarding the eradication of isolated lymph-nodal para-aortic recurrence in the aortic region down the left renal vein (LRV) in a patient treated two years earlier in another hospital for a FIGO stage IC2 high-grade serous ovarian carcinoma with a video showing the para-aortic space after eradication of the metastatic tissue. A 66 year-old woman was admitted 24 months after the initial surgical procedure for an increased Ca 125 level and CT scan that revealed a 3 cm para-aortic infrarenal lymph-nodal recurrence that was confirmed by PET/CT scan. A secondary cytoreductive surgery (SCS) with a para-aortic lymph-nodal dissection of the tissue down the LRV and radical omentectomy were performed: during the cytoreduction, the right hemicolon was mobilized. The anterior surface of the inferior vena cava (IVC), aorta and LRV were exposed. The metastatic lymph nodes were detected in the para-ortic space down the proximal part of the LRV and eradicated; an en bloc infrarenal lymph-node dissection from the aortocaval region was performed. The operative time during the surgical procedure was 212 min with a blood loss of 120 mL. No intra- and postoperative complications, including ureteral or vascular injury or renal dysfunction, occurred. At histological examination, three dissected lymph nodes were positive for metastasis, and the patient was discharged five days after laparotomy without side effects and underwent chemotherapy 3 weeks later; after a follow-up of 42 months, no recurrence was detected. In conclusion, secondary debulking surgery can be considered a safe and effective therapeutic option for the management of recurrences, although long-term follow-ups are necessary to evaluate the overall oncologic outcomes of this procedure.

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“…Vascular repairs during gynecologic oncologic surgery are often performed for iatrogenic injuries or during extensive oncologic resections and are increasing in frequency [4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Eradication of Isolated Para-Aortic Nodal Recurrence in a Patient with an Advanced High Grade Serous Ovarian Carcinoma: Our Experience and Review of Literature

Tinelli¹,

Dellino

Nappi

et al. 2022

Medicina

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“…In comparison to traditional open surgery, MIS provides a multitude of benefits, such as minimizing trauma, alleviating pain, accelerating recovery, and shortening hospital stays. [1][2][3][4] MIS has important applications in endoscopic surgery, 5,6 vascular interventional surgery 7 and ablation surgery. 8 Since the nineties, MIS has been continuously developed.…”

Section: Introductionmentioning

confidence: 99%

Fiber Bragg grating-based temperature-compensated force sensor development for minimally invasive surgery

Dong,

Yang,

Lou

et al. 2023

AOPC 2023: Optic Fiber Gyro

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A Fiber Bragg Grating (FBG) based force sensor with high-sensitivity and temperature compensation capbility.It can be used to accurately measure the contact force (CF) between medical equipment and tissues or organs in minimally invasive surgery (MIS). To achieve temperature compensation, a novel design incorporating dual elastomer-based dual FBGs is employed, and its effectiveness is verified through finite element simulation. After temperature compensation, the developed sensor has a sensitivity of 54 pm/N, a resolution of 0.019 N, and a root-mean-square error (RMSE) of 0.064 N.The utilization of temperature disturbances for measuring distal contact force demonstrates a substantial enhancement compared to direct measurement methods. Additionally, in vitro experiments are conducted using a silicone vascular model, demonstrating the sensor's capability to detect certain alterations in vascular pathways. Finally, a simulated palpation liver experiment confirmed that the designed force sensor can preliminary detect of the relative hardness of the tissue based on the magnitude of the CF.In vitro experiments have proved that the designed FBG force sensor has a practical value in MIS.

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Quelles sont la fréquence, les circonstances de survenue et la gravité des plaies vasculaires au cours de réalisation du pneumopéritoine ?

Poghosyan¹,

Johanet

Gravié

et al. 2012

Journal de Chirurgie Viscérale

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Vascular injuries during gynecological laparoscopy: the vascular surgeon's advice

Abstract: Important points on this subject are made, and advice is given. There needs to be immediate recognition of the vascular injury, and expert repair by a vascular surgeon is recommended, in order to significantly reduce the degree of complications.

Cited by 16 publications

References 25 publications

Eradication of Isolated Para-Aortic Nodal Recurrence in a Patient with an Advanced High Grade Serous Ovarian Carcinoma: Our Experience and Review of Literature

Eradication of Isolated Para-Aortic Nodal Recurrence in a Patient with an Advanced High Grade Serous Ovarian Carcinoma: Our Experience and Review of Literature

Fiber Bragg grating-based temperature-compensated force sensor development for minimally invasive surgery

Quelles sont la fréquence, les circonstances de survenue et la gravité des plaies vasculaires au cours de réalisation du pneumopéritoine ?

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