Open AccessUse of absorbable mesh in the treatment of parenchymal liver injuries during orthotopic liver transplantation
Author(s) -
Soliman Th.,
Langer F.,
Puhalla H.,
Pokorny H.,
Grünberger Th.,
Berlakovich G. A.,
Mühlbacher F.,
Steininger R.
Publication year - 2001
Publication title -
european journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 1741-9271
pISSN - 1102-4151
DOI - 10.1080/110241501750069783
Subject(s) - medicine , surgery , liver transplantation , transplantation , parenchyma , pathology
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. Copyright © 2001 Taylor and Francis Ltd.