Summary Med. Weter. 81 (11), 612-619, 2025
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| MAGDALENA MORAWSKA-KOZŁOWSKA, KORINA MICHALSKA, MIESZKOWSKA MARTA, KAROLINA MALEWSKA, KACPER PAWLUK, DORIAN ZIELONKA, YAUHENI ZHALNIAROVICH |
| Use of Hemostatic Material on Damaged Renal Artery and Caudal Vena Cava During Adrenalectomy: A Case Study of Two Dogs |
| This retrospective article presents two canine case studies involving complications during adrenalectomy, where intraoperative damage occurred to the caudal vena cava and renal artery. The authors explore the successful use of TachoSil, a collagen-based hemostatic patch with human fibrinogen and thrombin, as a non-suturing alternative to control bleeding from small vascular injuries. In both cases – a Jack Russell terrier with a hormonally active right adrenal tumor and a Yorkshire terrier with a non-functional left adrenal tumor – adrenal masses compressed adjacent vascular structures. During dissection, minor tears occurred in the vessels. Instead of traditional suturing, TachoSil was applied, resulting in immediate and stable hemostasis without hemodynamic compromise, thrombosis, or organ dysfunction. Postoperative monitoring confirmed normal renal function and absence of hemorrhage. The authors discuss the limitations and complications of suturing major vessels, such as thrombosis, stricture, and hemorrhage, and advocate the selective use of TachoSil for minor injuries. They emphasize the importance of meticulous anesthesia management and multimodal analgesia during adrenal surgery to prevent perioperative complications. The study concludes that TachoSil is a safe and effective alternative for managing small vessel injuries during adrenalectomy in dogs, potentially reducing the need for more invasive interventions like nephrectomy or vascular |
| Key words: Adrenal tumor, Hemostatic agent, TachoSil, Vascular injury, Canine surgery |