Hemostatic control of inferior vena cava with tape traction maneuver in the presence of bulky metastatic paraaortic lymph nodes

Paraaortic lymph node metastasis is a frequent finding of advanced ovarian cancer in primary setting [1] or in case of recurrence [2]. Secondary cytoreductive surgery in patients presenting with recurrent nodal disease was found to be relatedwith better oncological outcomes compared with those who had chemotherapy alone [3]. However, resection of these nodesmay result in important intraoperative complications including laceration of major retroperitoneal vessels and increased blood loss [4]. Inferior vena cava (IVC) can be torn easily during dissection of the enlarged nodes and it is of utmost importance to have hemostatic control to prevent torrential bleeding. The aim of this surgical video is to demonstrate the use of tape traction maneuver for hemostatic control of IVC.