tag:blogger.com,1999:blog-37286253.post8034662194696139837..comments2024-03-09T11:08:34.910+02:00Comments on other things amanzi: inferior vena cavaBongihttp://www.blogger.com/profile/12918640034313468627noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-37286253.post-91290135364953315032009-07-23T02:54:03.158+02:002009-07-23T02:54:03.158+02:00I was on the receiving end of such a trauma when I...I was on the receiving end of such a trauma when I gave my son kidney in 2008. (It unfortunately failed and I am desperately trying to find out if what happened had any bearing on the transplant failing) This sight is the only one I have found that even mentions what can happen if this vein is cut. I appreciated the honesty as you say surgeons are human. But believe I am glad to be alive. I still wish I had another Kidney to give my son. I am still heart broken it did not work and what happened could have been the cause.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-37286253.post-80526970758908823262007-12-05T01:27:00.000+02:002007-12-05T01:27:00.000+02:00Black Mamba is an infintely cooler name than Big B...Black Mamba is an infintely cooler name than Big Blue, which is what we call it. I'm bogarting it. I've never run into this, but I've heard about it so many times. Try to stitch something but it keeps tearing. Can't see. Can't keep exposures. I get nervous even thinking about it...lights n steelhttps://www.blogger.com/profile/17901339504032749677noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-23169863926535050732007-12-02T19:52:00.000+02:002007-12-02T19:52:00.000+02:00buckeye, of course you can. i think in south afric...buckeye, of course you can. i think in south african anatomy books it is referred to as the black mamba already. (ok it isn't but it should be).<BR/><BR/>getting proximal and distal control where i was so bloody (i punned!!!) stupid to nick it is so to say impossible. firstly there are no valves so the blood just gushes up and down, most coming almost directly out of the heart. we grabbed the defect with a curved vascular clamp. (ok we grabbed about 90% of it. enough to decrease the bleeding a bit). then we placed a running suture under the clamp. we slipped the clamp off and tied. sounds so easy, but the open instruments were not long enough (i couldn't believe that there were no suitable instruments in the entire theater complex and i couldn't believe that this was the moment we found out) so we used laparoscopic needle holders. they were too long but we managed. terrifying is such an understatement.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-20543312505695985082007-12-02T14:38:00.000+02:002007-12-02T14:38:00.000+02:00IVC terrifies me. Black Mamba is geat moniker. R...IVC terrifies me. Black Mamba is geat moniker. Rather than audible, I'd describe the bleeding as silent and irrepressible. The entire field keeps filling up with purplish/dark blood so fast all you can hear are the whooshing noises of the suctioner as you desparately try to clear the view. It's like getting a giant hole in a boat and bailing as fast as you can but you're standing ankle deep in liquid no matter how hard you work. Hardest part is finding the injury because obtaining proximal and distal control are often compromised by anatomic constrictions (like the subdiaphragmatic IVC injury you describe). Cool post. I'm going to start using the phrase "Black Mamba" if you dont mind.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-43565054380101765612007-12-02T00:27:00.000+02:002007-12-02T00:27:00.000+02:00There's something very threatening about it, all r...There's something very threatening about it, all right, even when quiescent: it seems to bulge in a dangerous way. Almost hate looking at it, because if you're seeing it, you're close enough to ding it. Your save was well handled.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-8272955975431656042007-12-02T00:21:00.000+02:002007-12-02T00:21:00.000+02:00I remember two things I have heard about what make...I remember two things I have heard about what makes a good surgeon. One is that a good surgeon is not measured by the fact that they never get into trouble while operating, but rather that if they do get into trouble, they know how to fix it. The other is know when to ask for help. You are a very good surgeon indeed!<BR/> <BR/><I>in an inspired moment, i phoned the senior <BR/>as i opened, he walked in.</I><BR/><BR/>An amazing save for a through and through I would think. Way to listen to your intuition on that one!make mine traumahttps://www.blogger.com/profile/18149160428613740527noreply@blogger.com