ABSTRACT
Vascular complications may occur in any clinical scenario and obtaining a satisfactory outcome sometimes taxes even the most experienced surgeons. The impact of intra-operative vascular complications may be mitigated through thoughtful preoperative preparation and knowledge of vascular reconstructive techniques. The final component of preoperative preparation for the potential vascular complication is vascular graft availability. The autogenous greater saphenous vein has always been the preferable conduit for vascular reconstruction. Synthetic vascular grafts for reconstruction include polytetrafluoroethylene and Dacron and the biologic grafts of human cadaveric aorta and heterografts that include bovine carotid arteries. Laparoscopic surgery is quite safe but there is always the possibility of vascular injury related to Veress needle or trocar placement. The confluence of the iliac veins at the inferior vena cava, the distal aorta, and the proximal iliac arteries are at highest risk.
