title: Repair of the inferior vena cava with autogenous peritoneo-fascial patch graft following abdominal trauma: a case report.
abstract: Abdominal vascular injuries are among the most challenging and lethal injuries in traumatized patients. Inferior vena cava is the most frequently injured vein during the blunt or penetrating trauma. The primary repair, end to end anastomosis, endovascular stenting, or graft interposition with autogenous or synthetic materials should be considered in selected cases. However, in cases the synthetic graft was preferred, intestinal contaminations due to small or large bowel perforation accompanying the trauma have been cited as a limiting factor for the use of such grafts as in the current case. However, a previous history of lower leg variceal surgery prevents the use of great saphenous vein as a graft. So in the present case, the authors report a patient with inferior vena cava injury repaired with autogenous peritoneo-fascial graft. The authors have used APF graft in traumatic inferior vena cava injury for the first time.
authors.affiliation: Cardiovascular Surgery Department, Faculty of Medicine, Kocatepe University, Afyonkarahisar, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Emmiler
authors.forename: Cevdet Ugur
authors.initials: CU
authors.lastname: Kocogullari
authors.forename: Sezgin
authors.initials: S
authors.lastname: Yilmaz
authors.forename: Ahmet
authors.initials: A
authors.lastname: Cekirdekci
mesh_terms: D000007:Abdominal Injuries / Q000601:surgery*; D000328:Adult; D005205:Fascia / Q000637:transplantation*; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery; D008026:Ligation; D008297:Male; D010537:Peritoneum / Q000637:transplantation*; D010690:Phlebography; D013524:Surgical Flaps; D013536:Suture Techniques; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*