title: Control of severe portal bleeding by carrier-bound fibrin sealant.
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.
authors.affiliation: The Swiss Hepato-Pancreatico-Biliary (HPB) Center, Department of Visceral and Transplant Surgery, University Hospital of Zurich, Ramistrasse 100, 8091 Zurich, Switzerland.
authors.forename: Carlos
authors.initials: C
authors.lastname: Apestegui
authors.forename: Stefan
authors.initials: S
authors.lastname: Breitenstein
authors.forename: Philipp
authors.initials: P
authors.lastname: Dutkowski
authors.forename: Pierre-Alain
authors.initials: PA
authors.lastname: Clavien