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Japanese

Laparoscopic repair of severe hemorrhage from the inferior vena cava using TachoSil® fibrin sealant patch with folded SURGICEL NU-KNIT® absorbable hemostat Koji NISHIZAWA 1 , Toru YOSHIDA 1 1Department of Urology, Shiga General Hospital, Shiga, Japan Keyword: 下大静脈損傷 , 組織接着用シート , 可吸収性止血剤 pp.149-154
Published Date 2022/7/15
DOI https://doi.org/10.11477/mf.4426200988
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 Injury of the inferior vena cava is one of the most serious complications during laparoscopic surgery, since severe bleeding makes its suturing difficult. However, appropriate procedures to achieve hemostasis during this complication have not been clearly indicated. We herein report a female patient in whom severe hemorrhage from the inferior vena cava was managed laparoscopically using a combination of TachoSil® fibrin sealant patch and SURGICEL NU-KNIT® absorbable hemostat. Although the pressure hemostasis using cotton gauze achieved transient hemostasis, suturing the injured vena cava was difficult due to continuous severe bleeding after removing the gauze. Therefore, the bleeding area was covered by TachoSil® patch on the injured vena cava along with a folded SURGICEL NU-KNIT®, which made the TachoSil® patch easily attached to the surface of the inferior vena cava. Thereafter, another sheet of TachoSil® patch was overlaid to stabilize the SURGICEL NU-KNIT®. This laparoscopic procedure is safe and effective when a vena cava injury cannot be repaired using laparoscopic sutures.


Copyright © 2022, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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