title: Use of absorbable mesh in the treatment of parenchymal liver injuries during orthotopic liver transplantation.
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.
  
  
  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.
authors.affiliation: Department of Surgery, University of Vienna, Austria.
authors.forename: T H
authors.initials: TH
authors.lastname: Soliman
authors.forename: F
authors.initials: F
authors.lastname: Langer
authors.forename: H
authors.initials: H
authors.lastname: Puhalla
authors.forename: H
authors.initials: H
authors.lastname: Pokorny
authors.forename: T H
authors.initials: TH
authors.lastname: Grünberger
authors.forename: G A
authors.initials: GA
authors.lastname: Berlakovich
authors.forename: F
authors.initials: F
authors.lastname: Mühlbacher
authors.forename: R
authors.initials: R
authors.lastname: Steininger
mesh_terms: 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
chemical_list: D011098:Polyglactin 910