A scoop like injury of external iliac artery caused by Harmonic scalpel

A 62 year old woman, who is known to have a stage 3 ovarian cancer with massive ascites and peritoneal carcinomatosis, has received 4 courses of neoadjuvant (Taxol and Carboplatin) chemotherapy, after that, she was admitted for Laparoscopic maximal debulking surgery, which included; Total Laparoscopic Hysterectomy, Bilateral salpingo-oophorectomy, omentectomy, appendectomy, peritoneal resection and bilateral pelvic lymphadenectomy, a 4 handed surgery was performed with a Lee Huang point as a major port entry, Ethicon ® Harmonic scalpel was used as the main instrument, unfortunately; during right iliac lymph node group dissection, an injury has occurred to external iliac artery wall, which was a partial thickness injury involving the muscularis layer.
Source: Taiwanese Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Research Letter Source Type: research