From:
AFERRETVET@cs.com
Date: 2003-03-08 04:42:04 UTC
Subject: Re: Right adrenal surgery
To: ferrethealth@smartgroups.com
Message-ID: <64.2d8910ae.2b9ace9c@cs.com>
Hi Terry,
If it is actually "uncontrollable bleeding" from the
vena cava then you are going to ligate the vena cava.
If the defect is repairable then suturing the vena cava
(6-0 to 10-0 CV silk, or nylon, or prolene sutures) to
repair the damage is the best option.
As for things that can be used to help form blood clots
gelfoam and/or surgicel can be used. For small defects
direct pressure or topically apply a drop or 2 of epi to stop
the bleeding. I have also tried Hemablock, but I did not like it.
My other suggestion would be to have vascular clamps, so
you can occlude the vena cava as you remove the right gland
and repair the vena cava if necessary.
Hope that helps,
Jerry Murray, DVM