title: Water-glove balloon system: a useful option to salvage liver grafts with postreperfusion suprahepatic vena caval kinking.
abstract: BACKGROUND
  Although exceedingly rare, kinking of suprahepatic vena cava after liver transplantation can lead to both graft failure and patient demise. The features of a case of suprahepatic vena caval kinking are herein reported along with the description of an original solution adopted to rescue the graft.
  
  
  METHODS
  In order to correct vascular kinking, two surgical gloves filled with sterile saline solution were placed in appropriate positions in the subdiaphragmatic space.
  
  
  RESULTS
  Caval obstruction was immediately relieved. Over a period of 7 days, gloves were progressively deflated and eventually removed without need for laparotomy. Vena caval kinking did not recur.
  
  
  CONCLUSIONS
  The "water-glove balloon system" described in this report seems to be an efficient and inexpensive method to rescue liver grafts in the presence of kinking or torsion of the suprahepatic vena cava. Surgeons dedicated to the transplantation of the liver should therefore retain this option in their cultural background.
authors.affiliation: Liver Transplantation Unit, Ospedale di Cisanello, Pisa, Italy.
authors.forename: U
authors.initials: U
authors.lastname: Boggi
authors.forename: F
authors.initials: F
authors.lastname: Filipponi
authors.forename: F
authors.initials: F
authors.lastname: Mosca
mesh_terms: D000328:Adult; D006502:Budd-Chiari Syndrome / Q000517:prevention & control; D005260:Female; D005932:Gloves, Surgical; D006085:Graft Survival / Q000502:physiology; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D016031:Liver Transplantation / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D012965:Sodium Chloride; D014652:Vascular Diseases / Q000517:prevention & control; D014682:Vena Cava, Inferior
chemical_list: D012965:Sodium Chloride