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April 2008 · Vol. 20, No. 04

SURGICAL TECHNIQUES

Major vascular injury during laparoscopy: Pearls to cope

Fast Track

Placement of the Veress needle and trocars is the occasion of greatest risk of injury

Systemic changes—hypotension, arrhythmias—are late signs of hemorrhage. Don’t wait for them before you take action!

Extensive intimal damage may make primary closure impossible and require a graft

IN THIS ARTICLE

Magdy  Milad,  MD, MS

Dr. Milad is Professor of Obstetrics and Gynecology and Director of Gynecologic Endoscopy at Northwestern University in Chicago.

The author reports no financial relationships relevant to this article.

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