Features of surgical tactics for injuries of abdominal and retroperitoneal major veins (review of literature)

• Published in: Vestnik hirurgii im. I.I. Grekova Vol. 180; no. 2; pp. 101 - 107
• Main Authors: Maskin, S. S., Aleksandrov, V. V., Matyukhin Matyukhin, V. V.
• Format: Journal Article
• Language: English; Russian
• Published: Pavlov First Saint Petersburg State Medical University 20.08.2021
• Subjects: circular vascular suture; endovascular surgery; inferior vena cava injury; prosthesis of the vessel; side vascular suture
• ISSN: 0042-4625; 2686-7370
• DOI: 10.24884/0042-4625-2021-180-2-101-107

Injuries of abdominal and retroperitoneal major veins, especially in combination with pelvic fractures, are accompanied by high mortality and require further improvement of treatment tactics. The objective of the study was to analyze the data from Russian and foreign literature for improving the treatment of patients with injuries of the major abdominal veins, including pelvic bone fractures, by General surgeons. The article considers treatment options for patients with damage to major abdominal veins, describes the methods of temporary and final hemostasis, features of temporary prosthetics and vascular suture, and considers indications for endovascular interventions. CONCLUSION. Indications for endovascular methods of treatment of injuries of abdominal and retroperitoneal major veins are expanded. For general surgeons, knowledge of rational approaches and methods of temporary and final hemostasis is necessary to save the life of the sufferer.