Robot-Assisted Laparoscopic Application of Fibrin Sealant Patch for Repair of Inferior Vena Cava

This case illustrates the successful use of a fibrin sealant patch to control a major vascular injury in the robotic-assisted laparoscopic setting. While fibrin sealant patches are Food and Drug Administration-approved for soft tissue hemostasis, their application in major vascular repairs, including the IVC, is off-label. The blood loss (250 mL) and absence of thrombotic events highlight the safety and efficacy of the fibrin sealant patch. Further investigation is warranted to establish the efficacy of fibrin sealants in the repair of major vascular injuries in robotic-assisted and traditional laparoscopic surgeries.