The European journal of surgery = Acta chirurgica · 2001
Use of absorbable mesh in the treatment of parenchymal liver injuries during orthotopic liver transplantation.
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Soliman T H, Langer F, Puhalla H, Pokorny H, Grünberger T H, Berlakovich G A, Mühlbacher F, Steininger R
Аннотация
OBJECTIVE: To find out whether packing or wrapping with polyglactin 910 mesh was more effective in stopping bleeding in livers that had been damaged during transplantation.
DESIGN: Retrospective study.
SETTING: University hospital, Austria.
SUBJECTS AND INTERVENTIONS: 15 of 27 livers that had been damaged during transplantation bled sufficiently to warrant either packing (n = 6) or wrapping (n = 9).
MAIN OUTCOME MEASURES: Arrest of bleeding; other complications.
RESULTS: Both packing and wrapping succeeded in stopping the bleeding, and neither caused infections. Packing may theoretically cause an increase in intra-abdominal pressure and impair organ function.
CONCLUSION: It is preferable to wrap rather than pack a bleeding liver that has been damaged during transplantation.
DESIGN: Retrospective study.
SETTING: University hospital, Austria.
SUBJECTS AND INTERVENTIONS: 15 of 27 livers that had been damaged during transplantation bled sufficiently to warrant either packing (n = 6) or wrapping (n = 9).
MAIN OUTCOME MEASURES: Arrest of bleeding; other complications.
RESULTS: Both packing and wrapping succeeded in stopping the bleeding, and neither caused infections. Packing may theoretically cause an increase in intra-abdominal pressure and impair organ function.
CONCLUSION: It is preferable to wrap rather than pack a bleeding liver that has been damaged during transplantation.