Bilgehan ERKUT, Ferhat BORULU, Hakan USTA

Fatal Vascular Complication and Autotransfusion System Use After Lumbar Disc Surgery: A Rare Case

Vascular injuries are extremely rare after lumbar disc surgery, but have high mortality. Nonetheless, early diagnosis and treatment of these injuries are lifesaving. We present the case of a 38-year-old male patient with no history of disease or surgery. Our patient underwent microsurgical discectomy at the L4-L5 level and showed no evidence of intraoperative vascular injury, but vascular injury was later considered due to complications in the early postoperative period. Intraoperative autotransfusion was performed, and the operation was performed successfully. The patient was discharged on the 6th postoperative day with full recovery. Hence, in lumbar disc surgery, the possibility of vascular injury should be considered, even when no findings of clinical significance are observed during the operation.

Lomber Disk Cerrahisi Sonrasında Ölümcül Vasküler Komplikasyon ve Ototransfüzyon Kullanımı: Nadir Bir Olgu

Lomber disk cerrahisinden sonra vasküler yaralanmalar oldukça nadirdir. Ancak erken teşhis ve tedavi yüksek mortaliteleri nedeniyle hayat kurtarıcıdır. Amacımız 38 yaşında kronik hastalığı ve başka ameliyat öyküsü olmayan bir erkek hastayı sunmaktı. Hastamıza L4-L5'de mikrocerrahi diskektomi uygulandı ve intraoperatif dönemde vasküler yaralanma belirtisi göstermedi. Ancak postoperatif erken dönemde bozulan klinik bulgulara bağlı olarak vasküler hasar düşünüldü. Vasküler yaralanma intraoperatif ototransfüzyon kullanılarak başarıyla tamir edildi. Hasta postoperatif 6. günde iyileşerek taburcu edildi. Lomber disk cerrahisinde operasyon sırasında herhangi bir bulguya rastlanmasa bile vasküler yaralanma olasılığı düşünülmelidir.

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