Use of Absorbable Mesh in the Treatment of Parenchymal Liver Injuries during Orthotopic Liver Transplantation

Author: Soliman Th.   Langer F.   Puhalla H.   Pokorny H.   Grünberger Th.   Berlakovich G. A.   Mühlbacher F.   Steininger R.  

Publisher: Informa Healthcare

ISSN: 1102-4151

Source: European Journal of Surgery, Vol.167, Iss.1, 2001-01, pp. : 29-34

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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.