title: The management of difficult abdominal closure after pediatric liver transplantation.
abstract: Between January 1985 and December 1994, 164 liver transplantations were performed on 141 children. There were 100 reduced-size and 64 whole-liver grafts. Primary closure of the abdominal wound was not possible in 21 patients because of liver size, bowel edema, and distension. Temporary SILASTIC patch closure of the abdominal wound was used. For 16 of the 21 patients, removal of the SILASTIC patch and abdominal wall closure were completed by the seventh postoperative day; for the others, these were accomplished by the end of 2 weeks. The method is recommended when primary wound closure is not possible.
authors.affiliation: Queensland Liver Transplant Service, Royal Children's Hospital, Brisbane, Australia.
authors.forename: T H
authors.initials: TH
authors.lastname: Ong
authors.forename: R
authors.initials: R
authors.lastname: Strong
authors.forename: Z
authors.initials: Z
authors.lastname: Zahari
authors.forename: J
authors.initials: J
authors.lastname: Yamanaka
authors.forename: S
authors.initials: S
authors.lastname: Lynch
authors.forename: G
authors.initials: G
authors.lastname: Balderson
authors.forename: P
authors.initials: P
authors.lastname: Pillay
mesh_terms: D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods*; D019736:Prostheses and Implants; D012826:Silicone Elastomers; D013536:Suture Techniques; D014945:Wound Healing
chemical_list: D012826:Silicone Elastomers