Controlling massive hemorrhage from the retropancreatic portal vein as a complication of thromboendovenectomy during liver transplantation with balloon catheter tamponade how to do it

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dc.authorid116537en_US
dc.contributor.authorAydın, Cemalettin
dc.contributor.authorErsan, Veysel
dc.contributor.authorBaşkıran, Adil
dc.contributor.authorÜnal, Bülent
dc.contributor.authorKayaalp, Cüneyt
dc.contributor.authorYılmaz, Sezai
dc.date.accessioned2017-08-11T08:17:16Z
dc.date.available2017-08-11T08:17:16Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractt We herein describe two cases of liver transplantation with portal vein thrombosis. In both cases, a tear advancing to the retropancreatic area occurred during portal vein thrombectomy. Hemorrhage from the limited visibility retropancreatic area made it impossible to stop the bleeding by clamping or direct suturing, and the clamping and suturing efforts actually increased the hemorrhage, possibly due to the damaged and thin portal vein wall. First, finger compression over the retropancreatic area was employed to stop the bleeding, then a Foley urinary catheter was introduced into the portal vein under the finger. The balloon of the catheter was inflated with 8 cc of normal saline, and the finger was released. The bleeding was stopped temporarily, and two different venous conduits were sutured to the trimmed portal vein stump in a bloodless surgical area. The venous conduits were easily controlled with vascular clamps after deflating the balloon catheters, and implantation of the liver was then done in a standard manner. Balloon tamponade can be a lifesaving technique that can temporarily stop a hemorrhage to allow for definitive repair in cases of retropancreatic portal vein hemorrhage.en_US
dc.identifier.citationAydın, C. Ersan, V. Başkıran, A. Ünal, B. Kayaalp, C. Yılmaz, S. (2014). Controlling massive hemorrhage from the retropancreatic portal vein as a complication of thromboendovenectomy during liver transplantation with balloon catheter tamponade how to do it. Surgery Today. 44; 792–794.en_US
dc.identifier.doi10.1007/s00595-013-0647-9en_US
dc.identifier.endpage794en_US
dc.identifier.startpage792en_US
dc.identifier.urihttps://hdl.handle.net/11616/7550
dc.identifier.volume44en_US
dc.language.isoenen_US
dc.publisherSurgery Todayen_US
dc.relation.ispartofSurgery Todayen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLiver transplantationen_US
dc.subjectPortal veinen_US
dc.subjectHemorrhageen_US
dc.titleControlling massive hemorrhage from the retropancreatic portal vein as a complication of thromboendovenectomy during liver transplantation with balloon catheter tamponade how to do iten_US
dc.typeArticleen_US

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