scholarly journals Iliac Vein Injury during Total Hip Replacement: A Rare Iatrogenic Complication and its Successful Surgical Treatment

2017 ◽  
Vol 3 (2) ◽  
pp. 033-035 ◽  
Author(s):  
A Müdüroğlu ◽  
TO Kayhan ◽  
A Yüksel
1998 ◽  
Vol 13 (4) ◽  
pp. 171-173 ◽  
Author(s):  
M. Jalaluddin ◽  
E. J. Parnell ◽  
C. R. R. Corbett

Objective: To report a rare case of venous aneurysm. Design: Case report. Setting: Departments of General Surgery and Orthopaedic Surgery, The Princess Royal Hospital, Haywards Heath, a district general hospital. Patient, intervention and results: A 63-year-old woman underwent revision of a right total hip replacement in 1994, using a cemented prosthesis. She continued to have pain in the region of the hip and a pulsatile swelling was noted in the right iliac fossa. A pseudoaneurysm of the external iliac artery was suspected but investigations showed a venous aneurysm of the external iliac vein. Thus far, this aneurysm has been observed without complication. In 1996 the prosthesis was revised because of loosening of the femoral component and the pain resolved. Conclusion: Vascular injury is a rare complication of total hip replacement and thermal arterial injury can occur. Iliac venous aneurysms are recognized but are extremely rare so we conclude that this lesion was caused by thermal injury.


1996 ◽  
Vol 45 (1) ◽  
pp. 218-221
Author(s):  
Kenji Yamamoto ◽  
Daishiro Yuge ◽  
Hiroshi Mimura ◽  
Toshihiko Taguchi ◽  
Katsumi Nakamura ◽  
...  

2017 ◽  
Vol 23 (4) ◽  
pp. 423-428
Author(s):  
S.V. Khrypov ◽  
◽  
V.V. Umnov ◽  
D.A. Krasavina ◽  
A.G. Veselov ◽  
...  

Author(s):  
N. A. Voloshenyuk ◽  
N. S. Serdyuchenko ◽  
A. R. Tchaikovsky ◽  
N. V. Skuratovich ◽  
G. M. Evseev

The article presents the results of treatment of 33 patients with hip joint ankylosis. The authors had proposed the tactical scheme of surgical treatment of patients with hip ankylosis and the results of total hip replacement within 5–10 years.


1992 ◽  
Vol 68 (04) ◽  
pp. 436-441 ◽  
Author(s):  
Nigel E Sharrock ◽  
George Go ◽  
Robert Mineo ◽  
Peter C Harpel

SummaryLower rates of deep vein thrombosis have been noted following total hip replacement under epidural anesthesia in patients receiving exogenous epinephrine throughout surgery. To determine whether this is due to enhanced fibrinolysis or to circulatory effects of epinephrine, 30 patients scheduled for primary total hip replacement under epidural anesthesia were randomly assigned to receive intravenous infusions of either low dose epinephrine or phenylephrine intraoperatively. All patients received lumbar epidural anesthesia with induced hypotension and were monitored with radial artery and pulmonary artery catheters.Patients receiving low dose epinephrine infusion had maintenance of heart rate and cardiac index whereas both heart rate and cardiac index declined significantly throughout surgery in patients receiving phenylephrine (p = 0.0001 and p = 0.0001, respectively). Tissue plasminogen activator (t-PA) activity increased significantly during surgery (p <0.0005) and declined below baseline postoperatively (p <0.005) in both groups. Low dose epinephrine was not associated with any additional augmentation of fibrinolytic activity perioperatively. There were no significant differences in changes in D-Dimer, t-PA antigen, α2-plasmin inhibitor-plasmin complexes or thrombin-antithrombin III complexes perioperatively between groups receiving low dose epinephrine or phenylephrine. The reduction in deep vein thrombosis rate with low dose epinephrine is more likely mediated by a circulatory mechanism than by augmentation of fibrinolysis.


1991 ◽  
Vol 66 (06) ◽  
pp. 652-656 ◽  
Author(s):  
Per Anders Flordal ◽  
Karl-Gösta Ljungström ◽  
Jan Svensson ◽  
Brenda Ekman ◽  
Gustaf Neander

SummaryTwelve patients undergoing total hip replacement, with regional anaesthesia and with dextran infusion for plasma expansion and thromboprophylaxis, were given the vasopressin analogue desmopressin (DDAVP) or placebo in a randomized, double-blind prospective study. In controls (n = 6) we found a prolongation of the bleeding time, low factor VIII (FVIII) and von Willebrand factor (vWF) and a decrease in antithrombin III to levels known to be at risk for venous thrombosis. Desmopressin shortened postoperative bleeding time, gave an early FVIII/vWF complex increase, prevented antithrombin III from falling to critically low values and appeared to activate the fibrinolytic system, both by tPA increase and PAI-1 decrease.Thus in the controls we found changes in both coagulation and fibrinolysis indicating a haemorrhagic diathesis as well as a risk for thromboembolism. Desmopressin induced factor changes that possibly reduce both risks.


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