TY - JOUR ID - 16300 TI - Management of iliofemoral vein injury during open inguinal hernia repair JO - ARYA Atherosclerosis Journal JA - ARYA LA - en SN - 1735-3955 AU - Farhanchi, Afshin AU - Bazrafshan, Maziar AU - Sadeghi-Ghahareh, Maryam AD - Assistant Professor, Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran AD - Assistant Professor, Department of Vascular Surgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran AD - Radiologist, Department of Radiology, Hamadan University of Medical Sciences, Hamadan, Iran Y1 - 2022 PY - 2022 VL - 18 IS - 2 SP - 1 EP - 4 KW - Femoral Vein KW - Inguinal hernia KW - Anastomosis KW - Vascular injuries KW - Iatrogenic Disease DO - 10.48305/arya.2022.16300 N2 - BACKGROUND: Vascular injuries during inguinal hernia repair are rarely reported. Especially in children, we have little information about vascular management.CASE REPORT: In this article, we present a 6-year-old girl with right iliac vein ligation during inguinal hernia repair who was referred to our center and managed at the day of surgery. We recommended prior surgeon to order therapeutic heparin in dispatch time. The patient was treated with primary anastomosis of iliac vein and was admitted to pediatric intensive care unit (PICU). On the day following the operation, she had minimal dyspnea with low oxygen saturation and the investigations revealed pulmonary micro-embolization. Blood flow in lower extremity was normal and after a few days, she was discharged with good health and oral anticoagulation.CONCLUSION: Any unusual bleeding at the time of inguinal hernia repair should be considered as major vascular injury by the surgeon, and to prevent more injuries, minimum attempt must be performed to control the bleeding. UR - https://arya.mui.ac.ir/article_16300.html L1 - https://arya.mui.ac.ir/article_16300_83a15fe9db6e0af7ae0f9e6f1e8552d3.pdf ER -