Use of absorbable mesh in the treatment of parenchymal liver injuries during orthotopic liver transplantation.

Abstract

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.

• Authors: T H Soliman, F Langer, H Puhalla, H Pokorny, T H Grünberger, G A Berlakovich, F Mühlbacher, R Steininger
• Journal: The European journal of surgery = Acta chirurgica (Eur J Surg) Vol. 167 Issue 1 Pg. 29-34 (Jan 2001) ISSN: 1102-4151 [Print] England
• PMID: 11213817 (Publication Type: Journal Article)

Chemical References

• Polyglactin 910

Topics

• Adult
• Aged
• Female
• Hemorrhage (therapy)
• Humans
• Intraoperative Complications (therapy)
• Liver (injuries, surgery)
• Liver Transplantation (adverse effects, methods)
• Male
• Middle Aged
• Polyglactin 910 (therapeutic use)
• Retrospective Studies
• Surgical Mesh