Emergency management of iatrogenic injury of portal vein and superior mesenteric vein
10.3760/cma.j.issn.1007-8118.2009.09.002
- VernacularTitle:医源性门静脉和肠系膜上静脉损伤的紧急处理
- Author:
Zhiqing GAO
;
Youchi FU
;
Zhengcai LIU
- Publication Type:Journal Article
- Keywords:
Wounds and injuries;
Injury of inferior vena cava;
Iatrogenic;
Operation;
Management
- From:
Chinese Journal of Hepatobiliary Surgery
2009;15(9):645-646
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the emergency management and prevention of iatrogenic injury of in-ferior vena cava. Methods A retrospective study was undertaken to investigate the operative procedure and post-operative outcome of 7 patients suffering from iatrogenic injury of inferior vena cava in the course of three nephrectomy, one fight adrenal gland tumor resection, one fight surgical kidney, one right upper retro-peritoneal tumor and one pancreaticoduodenectomy. The gross hemorrhage was controlled by local pressure. Then, abdominal incision was done. Firm pressure on the inferior vena cava was performed to right side for temporary control of hemorrhage. The bleeding part could be found when the hematocele was cleaned. And continuous suture should be done with 3-0 silk or absorbable suture after the crevasse was clamped. Results In these 7 cases, 1 died of hemorrhagic shock and the other 6 had significant effect postoperatively. The asso-ciated injuries were healed well except 1 case of slight edema of lower extremity. Conclusion Iatrogenic inju-ry of inferior vena cava can be treated successfully with correct procedure. Furthermore, the injury could be avoided with exactitude intraoperative procedure.
