Delayed sequential abdominal wall closure in pediatric liver transplantation to overcome 'large for size' scenarios
| Autor: | Maria Mercadal-Hally, Ernest Hidalgo, Juan Antonio Ortega, Concepción Gómez-Gavara, Jesús Quintero, Elisabeth Pando, Ana Coma, Itxarone Bilbao, Cristina Dopazo, Lucia Riaza, L. Riera, Ramón Charco, Mireia Caralt, Javier Juamperez, J.A. Molino |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Kaplan-Meier Estimate Liver transplantation Abdominal wall closure Outcome Assessment Health Care medicine Humans In patient Child Ultrasonography Interventional Retrospective Studies Transplantation business.industry Abdominal Wall Graft Survival Infant Patient survival Abdominal Wound Closure Techniques Ultrasonography Doppler Biological materials Surgery Liver Transplantation medicine.anatomical_structure Logistic Models Child Preschool Pediatrics Perinatology and Child Health Cohort Abdomen Female Doppler ultrasound business |
| Zdroj: | Pediatric transplantationREFERENCES. 26(1) |
| ISSN: | 1399-3046 |
| Popis: | BACKGROUND Primary abdominal wall closure after pediatric liver transplantation (PLT) is neither always possible nor advisable, given the graft-recipient size discrepancy and its potential large-for-size scenario. Our objective was to report the experience accumulated with delayed sequential closure (DSC) guided by Doppler ultrasound control. METHODS Retrospective analysis of DSC performed from 2013 to March 2020. RESULTS Twenty-seven DSC (26.5%) were identified out of 102 PLT. Transplant indications and type of grafts were similar among both groups. In patients with DSC, mean weight and GRWR were 9.4 ± 5.5 kg (3.1-26 kg) and 4.7 ± 2.4 (1.9-9.7), significantly lower and higher than the primary closure cohort, respectively. The median time to achieve definitive closure was 6 days (range 3-23 days), and the median number of procedures was 4 (range 2-9). Patients with DSC had longer overall PICU (22.5 ± 16.9 vs. 9.1 ± 9.7 days, p |
| Databáze: | OpenAIRE |
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