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.

Large Venous Malformations in the Neck -

Are they curable with the available therapies?

Open surgeries, endovascular therapies and other plastic surgical procedures?

Large Venous malformations in the Head neck region are associated with complex hemodynamics and anatomy. Imaging these lesions adequately is difficult and planning interventions in multiple stages may be expensive and tiring to the family and providers. In addition the procedures are associated with hidden complications. Probably one would like to hear about the possibility of genetic therapies for such large lesions with intra thoracic ramifications and communications with other large veins in the head and neck region.