Related Experiment Video
Updated: Aug 10, 2026
14:54
An In Vivo Method for Evaluating the Gut-Blood Barrier and Liver Metabolism of Microbiota Products
Published on: October 20, 2018
Portal vein injuries
R F Buckman1, A S Pathak, M M Badellino
1Department of Surgery, Temple University School of Medicine, Temple University Hospital, Philadelphia, Pennsylvania 19140, USA.
The Surgical Clinics of North America
|January 5, 2002
Summary
Penetrating trauma to the portal vein is often fatal due to severe bleeding. Portal vein ligation is a safe alternative to complex repair, with careful postoperative care essential.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Surgical Anatomy
Background:
- Portal vein injuries are uncommon but associated with high mortality rates.
- Exsanguination during surgery is a primary cause of death.
- Understanding anatomy and injury patterns is crucial for management.
Purpose of the Study:
- To review the management of portal vein wounds.
- To evaluate surgical repair versus ligation techniques.
- To highlight critical aspects of postoperative care.
Main Methods:
- Review of literature on portal vein trauma.
- Analysis of surgical strategies for hemorrhage control.
- Discussion of anatomical considerations.
Main Results:
- Lateral repair is preferred when feasible, but portal ligation is a safe alternative.
- Multiple vessel injuries are common in portal vein trauma.
- Postoperative care requires aggressive fluid resuscitation and monitoring for bowel infarction.
Conclusions:
- Portal vein ligation is a viable and safe option for managing portal vein injuries.
- Complex repairs should be reserved for specific contraindications to ligation.
- Vigilant postoperative management is critical to reduce complications.
Related Concept Videos
01:11Overview of Systemic Veins
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the middle...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the middle...
01:24Esophageal Varices-I: Introduction
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
01:28Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
01:30Venous Thrombosis I: Introduction
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:22Portal Hypertension
Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...