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Management of injuries to the inferior vena cava

1965; Elsevier BV; Volume: 110; Issue: 5 Linguagem: Inglês

10.1016/0002-9610(65)90119-4

1879-1883

James H. Duke, Ronald C. Jones, G. Tom Shires,

Ultrasound in Clinical Applications

Abstract 1.1. Forty-two instances of injury to the inferior vena cava were found at laparotomy during the past ten years at Parkland Memorial Hospital. Of this group twenty-five survived, yielding a mortality of 40.5 per cent. 2.2. Three principal factors determining survival were associated major vessel injury, the level of inferior vena cava injury and whether or not the vessel was actively bleeding at laparotomy. The latter seems to be the most important factor. 3.3. All retroperitoneal hematomas should be explored. In 75 per cent of these cases, there was an additional reason to explore the retroperitoneal area. 4.4. Suture repair by the technics outlined was the preferred method of treatment. Ligation was occasionally necessary if the injury was below the renal veins and primary repair could not be accomplished. 5.5. It is essential to have a set of major vascular instruments immediately available when treating intra-abdominal trauma.