Traumatic hypogastric artery bleeding controlled with bipolar desiccation during operative laparoscopy

Nezhat F, F Nezhat, Farr Nezhat, A Brill, Andrew Brill, Brill A, C Nezhat, Nezhat C, Ceana Nezhat
The Journal of the American Association of Gynecologic Laparoscopists · 1994 · vol. 1(2) , pp. 171–173 · doi:10.1016/s1074-3804(05)80785-6 · PMID:9050483 · W2038529854
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper describes the successful laparoscopic control of severe hypogastric artery bleeding using bipolar desiccation during a surgical procedure.

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Abstract

During multipuncture operative laparoscopy to excise peritoneal endometriosis involving the pelvic sidewall near the origin of the uterine artery, the lower portion of the hypogastric artery was perforated. The acute hemorrhage was controlled by immediately grasping the lacerated blood vessel with a 5-mm atraumatic grasping forceps. A Kleppinger bipolar forceps set at 25 W desiccated and sealed the artery successfully. As no further bleeding was noted, the procedure was terminated. The patient remained overnight for observation, and was discharged from the hospital the next day. She is doing well 18 months after the injury and repair.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Blood Loss, Surgical Electrocoagulation Endometriosis Iliac Artery Laparoscopy Pelvic Pain Adult Blood Loss, Surgical Electrocoagulation Electrocoagulation Endometriosis Endometriosis Female Humans Iliac Artery Laparoscopy Laparoscopy Pelvic Pain Pelvic Pain

Citation neighborhood (sparse)

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Cites (2)

References (10)

Source provenance

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License: CC0 · commercial use OK