Applications of hepatic round ligament/falciform ligament flap and graft in abdominal surgery—a review of their utility and efficacy
| Autor: | Govind Menon, Jayant Kumar Banerjee, Ramanathan Saranga Bharathi, Subramaniam Anand, Sukumar Santosh Kumar, Sita Ram Ghosh, Vasudevan Baskaran, Deep Shikha Mishra |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Round Ligament of Liver 030230 surgery Liver transplantation Pancreaticoduodenectomy Pancreatic Fistula 03 medical and health sciences Pancreatectomy 0302 clinical medicine medicine Humans Falciform ligament Ligaments business.industry Round Ligament Vascular surgery medicine.disease Surgery medicine.anatomical_structure Pancreatic fistula Cardiothoracic surgery 030220 oncology & carcinogenesis Female Hepatic Cyst business Abdominal surgery |
| Zdroj: | Langenbeck's Archives of Surgery. 406:1249-1281 |
| ISSN: | 1435-2451 1435-2443 |
| Popis: | Despite their ubiquitous presence, easy availability and diverse possibilities, falciform ligament and hepatic round ligament have been used less frequently than their potential dictates. This article aims to comprehensively review the applications of hepatic round ligament/falciform ligament flap and graft in abdominal surgery and assess their utility and efficacy. Medical literature/indexing databases were searched, using internet search engines, for pertinent articles and analysed. The studied flap and graft have found utility predominantly in the management of diaphragmatic hernias, gastro-oesophageal reflux disease, peptic perforations, biliary reconstruction, venous reconstruction, post-operative pancreatic fistula, post-pancreatectomy haemorrhage, hepatic cyst cavity obliteration, liver bleed, sternal dehiscence, splenectomy, reinforcement of aortic stump, feeding access, diagnostic/therapeutic access into portal system, composite tissue allo-transplant and ventriculo-peritoneal shunting where they have exhibited the desired efficacy. Hepatic round ligament/falciform ligament flap and graft are versatile and have multifarious applications in abdominal surgery with some novel and unique uses in hepatopancreaticobiliary surgery including liver transplantation. Their evident efficacy needs wider adoption to realise their true potential. |
| Databáze: | OpenAIRE |
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