What Should Be Done After Accidental Clamping Up Of Iliac Vein?

Posted on Wed, 9 Jul 2014

Question: On XXXXXXX 5th, during a routine tubal ligation, my obstetrician said he mistakenly clamped off a blood vessel in my lower torso area around the fallopian tube, rather than the fallopian. It is what I believe could be the internal or external iliac vein. What must be done at this time? Should there be an emergency procedure done to restore that blood vessel's function? And which medical specialist should perform the surgery?

Answered by Dr. Som Biswas (2 hours later)

Brief Answer:
Do not worry

Detailed Answer:
Hi,

Do not worry.

There are two internal and two external iliac vein in your body. Even if one is clamped off the other one will supply your both sides of body .

Also with time new branches will grow from the clamped vessel proximal to the clamp which will again work fine.

No need of any emergency procedure if you are not having any symptoms like gangrene of legs.

No need of any specialist.

Regards

Dr. Som MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Som Biswas (16 hours later)

My first question addressed a mistakenly clamped off blood vessel in my lower abdomen during a routine tubal ligation. I was advised by your Doctor to not worry about this, unless I get "gangrene of the leg". Since I am a Type 1 diabetic, my question is if the clamped off blood vessel should, or should not, require further investigation; and if so, what type of imaging procedures would be best used in the investigation?

Answered by Dr. Som Biswas (10 hours later)

Brief Answer:
Dear XXXX

Detailed Answer:
Dear XXXX

What more will you see in any imaging procedure ...a clamped vessel at most. Also you know how it got clamped and who did it.

So there is nothing more to investigate.

If you were to have a gangrene leg you would have had it in 6 hours after clamping. Nothing is going to happen now.

Still if you just want to investigate further then get a doppler of leg and an MRI angiography of the iliac vessels.

Regards

Dr. Som MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Som Biswas (47 hours later)

How is it possible that my Ob/Gyn did not find my fallopian tube during the tubal ligation?

Answered by Dr. Som Biswas (27 minutes later)

Brief Answer:
Its not possible unless...

Detailed Answer:
Hi,

It is not possible unless you have

1) absent fallopian tubes since birth ( rare but possible)

2) you already had a surgery in which fallopian tubes were removed like hysterectomy.

3) you had dense adhesions due to previous surgeries due to which your fallopian tube could not be identified or separated.

otherwise its not very difficult to find fallopian tubes.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar