case_images: PMC8397578_01
case_images: Intraoperative view of the open right iliac vein (yellow oval), despite the injury no bleeding is seen due to the preperitoneal pressure of 12 mmHg.
case_images: fsurg-08-636635-g0001.jpg
case_images: PMC8397578_01_fsurg-08-636635-g0001.jpg
case_images: F1
case_images: Due to the preperitoneal CO2 pressure of 12 mmHg an active bleeding of the injured vein could not be seen (Figures 1, 2).
case_images: The preperitoneal pressure is increased to 14 mmHg; the intraluminal blood volume is now more compressed and a venous branch is visible through the injured lumen (black arrow).
case_images: fsurg-08-636635-g0002.jpg
case_images: PMC8397578_01_fsurg-08-636635-g0002.jpg
case_images: F2
case_images: Due to the preperitoneal CO2 pressure of 12 mmHg an active bleeding of the injured vein could not be seen (Figures 1, 2).
case_images: The defect is sutured (not shown) and additionally covered by a hemostatic patch (Veriset, Covidien).
case_images: fsurg-08-636635-g0003.jpg
case_images: PMC8397578_01_fsurg-08-636635-g0003.jpg
case_images: F3
case_images: In addition, a hemostatic patch (Veriset, Covidien) was applied (Figure 3).
case_images: The inguinal hernia is supplied with polypropylene mesh in double mesh technique (Bard, SoftMesh).
case_images: fsurg-08-636635-g0004.jpg
case_images: PMC8397578_01_fsurg-08-636635-g0004.jpg
case_images: F4
case_images: Then the preperitoneal pressure was reduced to 8 mmHg to check the stability of the suture, followed by mesh placement of a 15 x 12 cm large pore monofilament polypropylene mesh (Bard Soft Mesh), according to in-house standards and previously described by Weyhe D. et. al in double mesh technique without fixation (Figure 4).