Fulltext

Control of severe portal bleeding by carrier-bound fibrin sealant

Apestegui, Carlos ; Breitenstein, Stefan ; Dutkowski, Philipp ; Clavien, Pierre-Alain

In: Surgery Today, 2009, vol. 39, no. 4, p. 363-365

Add to personal list
    Title
    • Control of severe portal bleeding by carrier-bound fibrin sealant
    Author
    • Apestegui, Carlos. The Swiss Hepato-Pancreatico-Biliary (HPB) Center, Department of Visceral and Transplant Surgery, University Hospital of Zurich, Ramistrasse 100, 8091, Zurich, Switzerland
    • Breitenstein, Stefan. The Swiss Hepato-Pancreatico-Biliary (HPB) Center, Department of Visceral and Transplant Surgery, University Hospital of Zurich, Ramistrasse 100, 8091, Zurich, Switzerland
    • Dutkowski, Philipp. The Swiss Hepato-Pancreatico-Biliary (HPB) Center, Department of Visceral and Transplant Surgery, University Hospital of Zurich, Ramistrasse 100, 8091, Zurich, Switzerland
    • Clavien, Pierre-Alain. The Swiss Hepato-Pancreatico-Biliary (HPB) Center, Department of Visceral and Transplant Surgery, University Hospital of Zurich, Ramistrasse 100, 8091, Zurich, Switzerland
    Document Type
    • Postprint
    OAI-PMH Identifier
    • oai:doc.rero.ch:319653
    Summary
    Bleeding during liver surgery and liver transplantation (LT) can be caused by coagulation disorders, portal vein hypertension, and adhesions from previous surgical procedures. We describe here how we controlled life-threatening bleeding from a portal vein anastomosis during a third cadaveric LT, by using a carrier-bound sealant (TachoSil). This technique proved effective to control severe anastomotic portal bleeding in this situation. It represents a helpful option in the field of LT, when vascular bleeding cannot be stopped by other methods