Delayed sequential abdominal wall closure in pediatric liver transplantation to overcome “large for size” scenarios

2021 ◽  
Author(s):  
José Andrés Molino ◽  
Ernest Hidalgo ◽  
Jesús Quintero ◽  
Ana Coma ◽  
Juan Ortega ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Abdominal Wall ◽  
Pediatric Liver Transplantation ◽  
Abdominal Wall Closure ◽  
Pediatric Liver

scholarly journals Long term outcomes of abdominal wall closure with ePTFE Gore-Tex Mesh in pediatric liver transplantation

2020 ◽  
Vol 34 (1) ◽  
pp. S150-S150
Author(s):  
Jeong-Moo Lee ◽  
Jiyoung Kim ◽  
Nam-Joon Yi ◽  
Suk Kyun Hong ◽  
Kwangpyo Hong ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Abdominal Wall ◽  
Pediatric Liver Transplantation ◽  
Abdominal Wall Closure ◽  
Long Term Outcomes ◽  
Pediatric Liver

Porcine acellular dermal matrix for delayed abdominal wall closure after pediatric liver transplantation

2014 ◽  
Vol 18 (6) ◽  
pp. 594-598 ◽  
Author(s):  
O. Caso Maestro ◽  
M. Abradelo de Usera ◽  
I. Justo Alonso ◽  
J. Calvo Pulido ◽  
A. Manrique Municio ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Abdominal Wall ◽  
Acellular Dermal Matrix ◽  
Pediatric Liver Transplantation ◽  
Abdominal Wall Closure ◽  
Dermal Matrix ◽  
Pediatric Liver ◽  
Porcine Acellular Dermal Matrix ◽  
Acellular Dermal

Combination of tissue expansion and porcine mesh for secondary abdominal wall closure after pediatric liver transplantation

2011 ◽  
Vol 16 (5) ◽  
pp. E150-E152 ◽  
Author(s):  
Aurore Lafosse ◽  
Catherine de Magnee ◽  
Andrea Brunati ◽  
Bénédicte Bayet ◽  
Romain Vanwijck ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Abdominal Wall ◽  
Tissue Expansion ◽  
Pediatric Liver Transplantation ◽  
Abdominal Wall Closure ◽  
Pediatric Liver

scholarly journals Long-Term Outcomes of Abdominal Wall Reconstruction with Expanded Polytetrafluoroethylene Mesh in Pediatric Liver Transplantation

2021 ◽  
Vol 10 (7) ◽  
pp. 1462
Author(s):  
Jiyoung Kim ◽  
Jeong-Moo Lee ◽  
Nam-Joon Yi ◽  
Suk Kyun Hong ◽  
YoungRok Choi ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
High Risk ◽  
Compartment Syndrome ◽  
Abdominal Wall ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Wall Reconstruction ◽  
Pediatric Liver Transplantation ◽  
Pediatric Liver ◽  
Abdominal Compartment

Background: Large-for-size syndrome caused by organ size mismatch increases the risk of abdominal compartment syndrome. Massive transfusion and portal vein clamping during liver transplantation may cause abdominal compartment syndrome (ACS) related to mesenteric congestion. In general pediatric surgery—such as correcting gastroschisis—abdominal wall reconstruction for the reparation of defects using expanded polytetrafluoroethylene is an established method. The purpose of this study is to describe the ePTFE-Gore-Tex closure method in patients with or at a high risk of ACS among pediatric liver transplant patients and to investigate the long-term prognosis and outcomes. Methods: From March 1988 to March 2018, 253 pediatric liver transplantation were performed in Seoul National University Hospital. We retrospectively reviewed the cases that underwent abdominal wall reconstruction with ePTFE during liver transplantation. Results: A total of 15 cases underwent abdominal closure with ePTFE-GoreTex graft. We usually used a 2 mm × 10 cm × 15 cm sized Gore-Tex graft for extending the abdominal cavity. The median follow up was 59.5 (17–128.7) months and there were no cases of ACS after transplantation. There were no infectious complications related to ePTFE implantation. The patient and graft survival rate during the study period was 93.3% (14/15). Conclusions: Abdominal wall reconstruction using ePTFE is feasible and could be an alternative option for patients with a high risk of ACS.

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