Successful repair of major retrohepatic vascular injuries without the use of shunt or sternotomy

Evans, Steven A.; Jackson, Richard J.; Smith, Samuel D.

doi:10.1016/0022-3468(93)90224-9

Cited by 18 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The length of the tube inserted into the shunt was determined by direct measurement of the proximal and distal snaring lengths. The surgical method involving a transdiaphragmatic incision was reportedly used for children with RHIVC injuries by Evans et al (12). However, because RHIVC injury is rare, it is difficult to generalize the procedure described in this report.…”

Section: Discussionmentioning

confidence: 94%

Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report

et al. 2023

View full text Add to dashboard Cite

Retrohepatic vena cava (RHIVC) injury is often fatal and can be very difficult to manage. Total hepatic vascular isolation, a shunt, or bypass surgery is required for the surgical treatment of RHIVC injury in hemodynamically unstable patients; however, these are not easy procedures. Here, we present a case of RHIVC injury that was successfully treated by atriocaval shunt placement via a transdiaphragmatic incision without sternotomy or thoracotomy. In addition, we review the resuscitation and surgical procedures used for total hepatic vascular isolation in patients with RHIVC injury.

show abstract

Section: Discussionmentioning

confidence: 94%

Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Experience with this technique is limited, however, even at large‐volume centers; this technique has its own associated morbidities, including the complication of pericardial tamponade. The literature concerning this topic is sparse at best …”

mentioning

confidence: 99%

“…The literature concerning this topic is sparse at best. [7][8][9][10] The aim of this case report is to describe our experience with transabdominal intrapericardial control of the SIVC in LT patients, with a particular emphasis on the incidence, postoperative complications, and treatment of cardiac tamponade.…”

mentioning

confidence: 99%

Cardiac tamponade following liver transplantation after intrapericardial control of the suprahepatic vena cava

Xu¹,

Hong²,

Busuttil³

2015

Liver Transpl

View full text Add to dashboard Cite

Transabdominal intrapericardial control of the suprahepatic inferior vena cava (SIVC) is a rather uncommon procedure occasionally required in conjunction with complicated liver transplantation (LT) and hepatobiliary surgery. Experience with this technique is limited. Here we report 6 cases of LT in which transabdominal intrapericardial control of the SIVC was necessary. After institutional review board approval was obtained, a single-center, retrospective review was conducted from January 1991 to December 2013 to identify adult cases (age > 18 years) of LT in which transabdominal intrapericardial isolation of the SIVC was necessary. Among 4102 adult LT cases in the study period, 6 such cases were identified. To gain access to the pericardial space, a 6-to 9-cm vertical incision was made above the SIVC. After reperfusion, the diaphragmatic incision was partially closed and selectively drained. Pericardial tamponade developed in 1 patient, and it necessitated emergent reoperation and widespread drainage. In conclusion, transabdominal intrapericardial isolation of the SIVC is easily achieved without the need for a separate thoracic incision. However, to be effective, the pericardial incision should be only partially closed, and the pericardial sac should be drained liberally. Such patients should be carefully monitored for signs and symptoms of pericardial tamponade, the development of which should prompt an immediate return to the operating room for emergent decompression and widespread drainage.

show abstract

Damage control in the abdomen and beyond

Loveland

Boffard

2004

British Journal of Surgery

View full text Add to dashboard Cite

Damage control surgery, sometimes known as 'damage limitation surgery' or 'abbreviated laparotomy', is best defined as creating a stable anatomical environment to prevent the patient from progressing to an unsalvageable metabolic state. Patients are more likely to die from metabolic failure than from failure to complete organ repairs. It is with this awareness that damage control surgery is performed, enabling the patient to maintain a sustainable physiological envelope.

show abstract

Successful repair of major retrohepatic vascular injuries without the use of shunt or sternotomy

Cited by 18 publications

References 8 publications

Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report

Successful treatment of a blunt retrohepatic vena cava injury using an atriocaval shunt without sternotomy or thoracotomy: a case report

Cardiac tamponade following liver transplantation after intrapericardial control of the suprahepatic vena cava

Damage control in the abdomen and beyond

Contact Info

Product

Resources

About