Lomber disk cerrahisi esnasýnda geliþen abdominal vasküler yaralanma

Lomber disk hernisinin cerrahi tedavisi sýrasýnda anterior longitüdinal ligamanýn perforasyonu ve abdominal vasküler yaralanma, oluþabilecek en ciddi komplikasyonlardan biridir. Cerrahý uyaran vasküler hasara ait belirtiler gecikebilir ve genellikle ölümcül seyreder. Ameliyat sýrasýnda geliþen hipotansiyon, taþikardi ve disk mesafesinde görülen pulsatil, durdurulamayan kanama belirgin bulgulardýr.
Bu yazýda lomber disk cerrahisi sýrasýnda abdominal vasküler hasar geliþen ve vasküler cerrahiyle tedavi edilmiþ üç olgu sunuldu.

Abdominal vascular injury during lumbar disc surgery: report of three cases

Anterior longitudinal ligament perforation and abdominal vascular injury is one of the most critical complications that may develop during lumbar disc surgery. The vascular injury-related symptoms that warns the surgeon may be late to appear; they usually turn out to be mortal. The hypotension during the operation, tachycardia and pulsatile unstoppable hemorrhage observed in the disc space are the major findings. Urgent detection of this complication and the repair of the vascular injury prevent the case from turning out to be fatal. In the present study, three patients who underwent surgical treatment of abdominal vascular injuries that had developed during lumbar disc surgery, were presented.