Iliac artery ınjury during lumbar disc hernia surgery

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dc.contributor.authorŞahinoğlu, Mert
dc.contributor.authorArun, Oğuzhan
dc.contributor.authorOrhan, Atilla
dc.contributor.authorNayman, Alaaddin
dc.contributor.authorÇalışır, Akın
dc.contributor.authorBocu, Yasin
dc.contributor.authorCebeci, Yasemin
dc.contributor.authorDuman, Ateş
dc.contributor.authorYılmaz, Hüseyin
dc.contributor.authorKöktekir, Ender
dc.contributor.authorKarabağlı, Hakan
dc.date.accessioned2020-03-26T20:14:34Z
dc.date.available2020-03-26T20:14:34Z
dc.date.issued2019
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBACKGROUND: Vascular injury complications during lumbar discectomy are rare but potentially life-threatening. Therefore, an early diagnosis and effective treatment management is required for these complications. CASE DESCRIPTION: A 50-year-old female patient was admitted to our outpatient clinic with severe back and right leg pain. She underwent surgery for right L4-5 extruded disc herniation with general anesthesia. Sudden arterial hemorrhage occurred during discectomy performed with straight disc forceps and was controlled using hemostatic materials, with no significant decrease in blood pressure. However, the patient became hypotensive near the end of the operation. The incision was quickly closed, and she was turned to supine position. Emergency abdominal ultrasound, computed tomography, and computed tomography angiography revealed an injury of the left main iliac artery, which was repaired by endovascular stenting. Laparotomy and Bogota bag were applied because of increased intrabdominal pressure at 3 hours postoperative. In addition, a retroperitoneal catheter was placed into the area of the right retroperitoneal hematoma on the first postoperative day. Tissue plasminogen activator was administered through the catheter. On postoperative day 3, the Bogota bag was removed, and the abdomen was closed. The patient was discharged without neurodeficit on day 27. Her abdominal fascial defect was closed with a synthetic graft after 5 months. CONCLUSIONS: Although lumbar discectomy is one of the most commonly performed neurosurgical procedures, the routine rules of discectomy should not be neglected. Early detection and a multidisciplinary approach can help prevent mortality in the event of vascular injury.en_US
dc.identifier.citationSahinoglu, M., Arun, O., Orhan, A., Nayman, A., Calısır, A., Böcü, Y., Cebeci, Y., Duman, A., Yılmaz, H., Koktekir, E., Karabagli, H. (2019). Iliac Artery İnjury During Lumbar Disc Hernia Surgery. World Neurosurgery, 125, 347-351.
dc.identifier.doi10.1016/j.wneu.2019.02.025en_US
dc.identifier.endpage351en_US
dc.identifier.issn1878-8750en_US
dc.identifier.issn1878-8769en_US
dc.identifier.pmid30797924en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage347en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.wneu.2019.02.025
dc.identifier.urihttps://hdl.handle.net/20.500.12395/37900
dc.identifier.volume125en_US
dc.identifier.wosWOS:000466491700217en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorŞahinoglu, Mert
dc.institutionauthorArun, Oğuzhan
dc.institutionauthorOrhan, Atilla
dc.institutionauthorNayman, Alaaddin
dc.institutionauthorÇalışır, Akın
dc.institutionauthorBocu, Yasin
dc.institutionauthorCebeci, Yasemin
dc.institutionauthorDuman, Ateş
dc.institutionauthorYılmaz, Hüseyin
dc.institutionauthorKöktekir, Ender
dc.institutionauthorKarabağlı, Hakan
dc.language.isoenen_US
dc.publisherELSEVIER SCIENCE INCen_US
dc.relation.ispartofWORLD NEUROSURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectDiscectomyen_US
dc.subjectIliac arteryen_US
dc.subjectLumbar discen_US
dc.titleIliac artery ınjury during lumbar disc hernia surgeryen_US
dc.typeArticleen_US

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