A case report of troubleshooting against bleeding from inferior vena cava injury
Introduction We report a case of troubleshooting against bleeding from an inferior vena cava injury using a gelatin–thrombin matrix. Case presentation A 58‐year‐old man underwent robot‐assisted partial adrenalectomy for a right adrenal adenoma causing subclinical Cushing's syndrome. During the...
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| Format: | Article |
| Language: | English |
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Wiley
2024-11-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.12782 |
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| author | Tadamasa Shibuya Toru Inoue Tadasuke Ando Toshitaka Shin |
| author_facet | Tadamasa Shibuya Toru Inoue Tadasuke Ando Toshitaka Shin |
| author_sort | Tadamasa Shibuya |
| collection | DOAJ |
| description | Introduction We report a case of troubleshooting against bleeding from an inferior vena cava injury using a gelatin–thrombin matrix. Case presentation A 58‐year‐old man underwent robot‐assisted partial adrenalectomy for a right adrenal adenoma causing subclinical Cushing's syndrome. During the surgery, while dissecting between the adrenal gland and the inferior vena cava, bleeding occurred secondary to an inferior vena cava injury. Despite attempts at hemostasis, applying a human fibrinogen–thrombin patch and suturing were both difficult because of poor vision secondary to the bleeding. Hemostasis was ultimately achieved using a gelatin–thrombin matrix, which was accurately placed on the bleeding point using gauze. Open conversion was hence avoided, allowing the completion of the surgery as planned. Conclusion Gelatin–thrombin matrix may be effective for managing relatively small inferior vena cava injuries. |
| format | Article |
| id | doaj-art-3a7583d87c17401e8899cf82fc9502a3 |
| institution | OA Journals |
| issn | 2577-171X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj-art-3a7583d87c17401e8899cf82fc9502a32025-08-20T02:18:27ZengWileyIJU Case Reports2577-171X2024-11-017647647910.1002/iju5.12782A case report of troubleshooting against bleeding from inferior vena cava injuryTadamasa Shibuya0Toru Inoue1Tadasuke Ando2Toshitaka Shin3Department of Urology, Faculty of Medicine Oita University Yufu‐city Oita JapanDepartment of Urology, Faculty of Medicine Oita University Yufu‐city Oita JapanDepartment of Urology, Faculty of Medicine Oita University Yufu‐city Oita JapanDepartment of Urology, Faculty of Medicine Oita University Yufu‐city Oita JapanIntroduction We report a case of troubleshooting against bleeding from an inferior vena cava injury using a gelatin–thrombin matrix. Case presentation A 58‐year‐old man underwent robot‐assisted partial adrenalectomy for a right adrenal adenoma causing subclinical Cushing's syndrome. During the surgery, while dissecting between the adrenal gland and the inferior vena cava, bleeding occurred secondary to an inferior vena cava injury. Despite attempts at hemostasis, applying a human fibrinogen–thrombin patch and suturing were both difficult because of poor vision secondary to the bleeding. Hemostasis was ultimately achieved using a gelatin–thrombin matrix, which was accurately placed on the bleeding point using gauze. Open conversion was hence avoided, allowing the completion of the surgery as planned. Conclusion Gelatin–thrombin matrix may be effective for managing relatively small inferior vena cava injuries.https://doi.org/10.1002/iju5.12782gelatin–thrombin matrixinferior vena cava injurypartial adrenalectomyrobotic surgerytroubleshooting |
| spellingShingle | Tadamasa Shibuya Toru Inoue Tadasuke Ando Toshitaka Shin A case report of troubleshooting against bleeding from inferior vena cava injury IJU Case Reports gelatin–thrombin matrix inferior vena cava injury partial adrenalectomy robotic surgery troubleshooting |
| title | A case report of troubleshooting against bleeding from inferior vena cava injury |
| title_full | A case report of troubleshooting against bleeding from inferior vena cava injury |
| title_fullStr | A case report of troubleshooting against bleeding from inferior vena cava injury |
| title_full_unstemmed | A case report of troubleshooting against bleeding from inferior vena cava injury |
| title_short | A case report of troubleshooting against bleeding from inferior vena cava injury |
| title_sort | case report of troubleshooting against bleeding from inferior vena cava injury |
| topic | gelatin–thrombin matrix inferior vena cava injury partial adrenalectomy robotic surgery troubleshooting |
| url | https://doi.org/10.1002/iju5.12782 |
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