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Control of severe portal bleeding by carrier-bound fibrin sealant


Apestegui, C; Breitenstein, S; Dutkowski, P; Clavien, P A (2009). Control of severe portal bleeding by carrier-bound fibrin sealant. Surgery Today, 39(4):363-365.

Abstract

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.

Abstract

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.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Visceral and Transplantation Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2009
Deposited On:25 Jan 2010 10:10
Last Modified:21 Sep 2018 14:15
Publisher:Springer
ISSN:0941-1291
OA Status:Green
Publisher DOI:https://doi.org/10.1007/s00595-008-3842-3
PubMed ID:19319650

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