title: Using autologous peritoneal graft for portal vein injury due to blunt thoracoabdominal trauma.
abstract: BACKGROUND
  Autologous vein or prosthetic materials are used as patch or tube graft for portal or caval vein reconstruction after trauma or tumor resection. Preparation of autologous veins requires extra incisions and is time consuming that is crucial especially in trauma patients. This condition adversely affects postoperative morbidity and mortality, particularly in trauma cases. Prosthetic materials may not be available in some centers, and their use is associated with an increased risk of infection.
  
  
  METHODS
  A 28-year-old hemodynamically unstable man presented to the emergency room with complete transection of main portal vein, right hepatic artery and common bile duct with tissue defect on hepatoduodenal ligament due to blunt thoracoabdominal trauma. Reconstructing of the portal vein was performed using an autologous peritoneal tube graft.
  
  
  CONCLUSIONS
  Autologous peritoneal graft is a very good option in the treatment of major vascular injuries which can not be repaired with primary suturing. It is also easy to prepare and use, safe, without a need of additional incision, as an alternative to autologous veins and prosthetic materials especially under emergency conditions. Hippokratia 2015; 19 (3): 260-262.
authors.affiliation: Department of General Surgery, Faculty of Medicine, University Of Suleyman Demirel, Isparta, Turkey.
authors.forename: M Z
authors.initials: MZ
authors.lastname: Sabuncuoglu
authors.affiliation: Division of Trauma and Acute Care Surgery, Department of Surgery, Isparta, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Dandin
authors.affiliation: Department of Radiology, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USA.
authors.forename: U
authors.initials: U
authors.lastname: Teomete
authors.affiliation: Department of General Surgery, Antalya Training and Researh Hospital, Antalya, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Cakir
authors.affiliation: Department of General Surgery, University of Inonu, Faculty of Medicine, Malatya, Turkey.
authors.forename: C
authors.initials: C
authors.lastname: Kayaalp
keywords: Portal vein; graft; peritoneum; trauma