J Korean Orthop Assoc.  2022 Feb;57(1):68-72. 10.4055/jkoa.2022.57.1.68.

Adhesion of External Iliac Vessels Found in a Modified Stoppa Approach to Acetabular Fracture in a Patient with a History of Previous Abdominal Surgery

• Kim ST
• Shin S
• Lee H
• Jeon SM

• KMID: 2525479
• DOI: http://doi.org/10.4055/jkoa.2022.57.1.68

Abstract

Some structures should be noted in the modified Stoppa approach for the treatment of acetabular fractures. Among them, the external iliac vessels should be protected with special care during surgery. If there is any history of previous abdominal surgery or a delay in surgery, it is predicted that the intra-abdominal adhesion will be severe. In this case, thorough preparation and caution are required before surgery because a dangerous situation may arise due to blood vessel damage during surgery. On the other hand, there are no specific reports on these cases. The authors report a case of severe adhesion of the external iliac vessels with a history of previous abdominal surgery.

Keyword

acetabular fracture; modified Stoppa approach; previous abdominal surgery; external iliac vessels, adhesion