innovative technique of vascular repair in intra-operative ivc rupture during lumbar microdiscectomy: a case report

background major vascular injury during a spinal surgery is a rare but most dreaded complication. case presentation a 39 years old female undergoing microscopic lumbar discectomy suddenly developed severe hypotension on table. the procedure was abandoned and the patient turned supine. it was diagnosed to be a major vessel tear and the patient was taken up for immediate successful vascular repair. to best of our knowledge such a repair procedure has not been described in literature. conclusions majority of such vascular injuries are dealt with primary repair of the defect by a vascular surgeon; however in our case the rent was big and placed on the undersurface making it very difficult for the vascular surgeon to approach or repair it primarily.