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Date Published: 16/12/2024
Abstract Views: 19
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DOI: https://doi.org/10.51298/vmj.v545i1.12197
Issue
Vol. 545 No. 1 (2024)
Section
Các bài báo
How to Cite
Dương, Đức H., Đinh, N. S., & Đỗ, A. T. (2024). VASCULAR INJURY IN LUMBAR SPINE SURGERY: CASE REPORTS AND LITERATURE REVIEW. Vietnam Medical Journal, 545(1). https://doi.org/10.51298/vmj.v545i1.12197

VASCULAR INJURY IN LUMBAR SPINE SURGERY: CASE REPORTS AND LITERATURE REVIEW

Đức Hùng Dương, Ngọc Sơn Đinh, Anh Tuấn Đỗ

Main Article Content

Abstract

This article presents two clinical cases involving significant vascular injuries that occurred during lumbar discectomy. The first case is a 51-year-old male patient diagnosed with an L4-L5 herniated disc. During the surgical procedure, the patient experienced substantial hemorrhage due to injuries to the common iliac artery and inferior vena cava. After losing approximately 1.5 liters of blood, the patient was stabilized and underwent emergency exploratory surgery, which revealed a large hematoma and vascular injuries that were subsequently repaired. Following the surgery, the patient had a stable recovery and was discharged after 7 days. The second case involved a 50-year-old female patient who also underwent L4-L5 discectomy. During her surgery, her blood pressure dropped to 60 mmHg due to vascular rupture, necessitating urgent intervention. Exploratory laparotomy revealed multiple lacerations in the common iliac artery and inferior vena cava. After repairing the vascular injuries, the patient recovered well and was discharged without complications. Both cases underscore the importance of early detection and timely intervention in managing vascular injuries during spinal surgery, with the aim of improving patient outcomes and minimizing the risk of complications.

Article Details

Keywords

Vascular Injury; Lumbar Spine Surgery; Herniated Disc

References

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