[Reconstructive interventions of the inferior vena cava].

Reconstructive procedures have superceded the lower vena cava ligature. Especially in cases of vena cava thrombosis, surgical reconstruction requires a different procedure depending on the origin, extent, and age of the thrombus. Currently even the new improved prosthetic materials used for alloplastic vena cava replacement may not replace the temporary av-fistula. Vena cava lesions demand immediate repair via a ventral transperitoneal access and reconstruction instead of ligature.