[Experience with a surgical mesh covering a hepatectomy incision].
A polyglycolic acid net (Vicryl) has been applied against the hepatectomy section of 27 patients (14% of all our liver resections) to complete its hemostasis. The indications for the use of this net were: the persistence of blood oozing and/or the necessity to shorten the operation. In one patient suffering from severe coagulopathy, active bleeding continued until the patient died; another patient bled until his blood dyscrasia was corrected. One case of abscess was encountered, and treated through a percutaneous approach. Although the achievement of perfect hemostasis is usual in surgical exeresis of the liver, a minority of patients can present with resistant bleeding of the resection slice, for which packing with a net may prove to be useful.
Prêtre
R
R
Département de Chirurgie, Hôpital Cantonal Universitaire, Genève, Suisse.
Mentha
G
G
Robert
J
J
Rohner
A
A
D000328:Adult; D000368:Aged; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006498:Hepatectomy / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh
Expérience avec le tamponnement d'une tranche d'hépatectomie par filet.