Laparoscopic Vascular injuries at the level of Iliac artery (Pelvis) can be life threatening due to pelvic and retroperitoneal bleeding.

In the recent past 3 patients with iliac artery injury were referred from the peripheral hospitals for management. In these there has been difficulty in sending to the concerned specialist centers very late due to logistics. In all the three patients an attempt was made by the general surgeons to control the bleeding but it also resulted in systemic problems and distal limb ischemia (Acute). In one patient there was iliac vein thrombosis in addtion to the arterial injury. One patients required femoro-femoral corss over graft ( tubectomy patient) , 2nd patient required direct repair of the iliac artery ( plus appendicectomy) and 3rd patient required Aortofemoral bypass (+Tuberculous adhesiolysis). In all the three patients the limb was salvaged.