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


METHODS
Retrospective study.


METHODS
University hospital, Austria.


METHODS
15 of 27 livers that had been damaged during transplantation bled sufficiently to warrant either packing (n = 6) or wrapping (n = 9).


METHODS
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.


CONCLUSIONS
It is preferable to wrap rather than pack a bleeding liver that has been damaged during transplantation.
Soliman
T H
TH
Department of Surgery, University of Vienna, Austria.
Langer
F
F
Puhalla
H
H
Pokorny
H
H
Grünberger
T H
TH
Berlakovich
G A
GA
Mühlbacher
F
F
Steininger
R
R
D000328:Adult; D000368:Aged; D005260:Female; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D008099:Liver / Q000293:injuries* / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D011098:Polyglactin 910 / Q000627:therapeutic use; D012189:Retrospective Studies; D013526:Surgical Mesh
D011098:Polyglactin 910