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破裂 下空靜脈의 結紮 1例와 其他 重要靜脈 損傷 4例

Successful Ligation of Perforated Inferior Vena Cave and Review of Other Four Cases of Major Venous Injuries

대한외과학회지 1967년 9권 2호 p.101 ~ 106
朴禹鎭, 金垠燮,
소속 상세정보
朴禹鎭 (  ) - 首都 陸軍病院一般外科
金垠燮 (  ) - 首都 陸軍病院一般外科

Abstract


Surgical treatment of venous injury is as important as that of arterial injury, and an attempt should be made to restore anatomical continuity of the injured vein, particulary when the vein is the unique passage for the venous drainage, such as superior mesenteric vein.
This report deals with 5 cases of major venous injuries, one case of inferior vena cava, 2 cases of superior mesenteric veins, one case of left common iliac vein and one case of right femoral vein below fossa ovalis.
Case 1. A 22 year old male sustained a perforating abdominal gunshot wound, perforating inferior vena cava immediately above the bifurcation which required ligation. Postoperative course was uneventful and venogram demonstrated development of good collaterals. No edema ever developed in the lower extremities.
Case 2. A 23 year-old Korean male sustained a blunt abdominal injury and exploration showed perforation of superior mesenteric vein in the mesenteric root, together with ischemic gangrene of transverse and right colon. The vein was treated with lateral suture and the latter with right hemicolectomy and ileotransverse colostomy. No complication ensued.
Case 3. A 25 year-old Korean male sustained a stab wound in the abdomen and exploration showed thru-and-thru perforation of the superior mesenteric vein immediately below the pancreas, and this was treated with lateral suture. Postoperative course was good.
Case 4. This 22 year-old Korean male had a stab wound in the abdomen and exploration showed presence of perforated left common iliac vein immediately below the bifurcation, and the vein was ligated. Postoperative course was good without development of edema.
Case 5. This 25 year-old Korean male had gunshot wound in the right groin which perforated right femoral vein below the fossa ovalis and rectum and left gluteus muscles. The vein was treated with end to end anastomsis without complication.

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