Treatment algorithm and management of retrohepatic vena cava injuries
Management principles for injuries to the RHIVC consist of a combination of packing, additional exposure to gain vascular control, direct repair, and in some cases, shunting. The management of this severe injury requires rapid decision making and stepwise progression through a defined treatment algorithm (Fig. 1) as described in the following video technique article with supplemental digital online content. All videos are of procedures performed during teaching sessions on fresh non-embalmed cadavers and in accord with the standard operating procedures of the University of Southern California Fresh Tissue Dissection Laboratory.