Using autologous peritoneal graft for portal vein injury due to blunt

Abstract

Background: Autologous vein or prosthetic materials are used as patch or tube graft for portal or caval vein reconstruction after trauma or tumor resection. Preparation of autologous veins requires extra incisions and is time consuming that is crucial especially in trauma patients. This condition adversely affects postoperative morbidity and mortality, particularly in trauma cases. Prosthetic materials may not be available in some centers, and their use is associated with an increased risk of infection.

Description of case: A 28-year-old hemodynamically unstable man presented to the emergency room with complete transection of main portal vein, right hepatic artery and common bile duct with tissue defect on hepatoduodenal ligament due to blunt thoracoabdominal trauma. Reconstructing of the portal vein was performed using an autologous peritoneal tube graft.

Conclusion: Autologous peritoneal graft is a very good option in the treatment of major vascular injuries which can not be repaired with primary suturing. It is also easy to prepare and use, safe, without a need of additional incision, as an alternative to autologous veins and prosthetic materials especially under emergency conditions.

C1 [Sabuncuoglu, M. Z.] Suleyman Demirel Univ, Fac Med, Dept Gen Surg, TR-32200 Isparta, Turkey.

[Dandin, O.] Univ Miami, Dept Surg, Div Trauma & Acute Care Surg, Leonard M Miller Sch Med, Miami, FL USA.

[Teomete, U.] Univ Miami, Dept Radiol, Leonard M Miller Sch Med, Miami, FL USA.

[Cakir, T.] Antalya Training & Researh Hosp, Dept Gen Surg, Antalya, Turkey.

[Kayaalp, C.] Univ Inonu, Dept Gen Surg, Fac Med, Malatya, Turkey.