Laparoscopic hyperthermic isolated limb perfusion a new minimally invasive approach for HILP

Figures & data

Figure 1. Esmarch tourniquet applied at the proximal limit of the limb, fixed with Steinman orthopaedic pins inserted into the iliac crest and held in place by a Martin’s arm retractor.

Figure 2. Temporary clipping of the side branches of external iliac vessels.

Figure 3. Placement of a proximal and a distal tourniquet on each external iliac vessel.

Figure 4. Introduction of cannulae inside the external iliac vessels.

Figure 5. Manual repair of the vascular breaches through simple interrupted stitches with prolene 5/0.

Figure 6. Completion of the vascular sutures and restoring of the normal blood flow in the external iliac vessels.

Figure 7. Complete clinical response after laparoscopic HILP.