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

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 surg...

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Autores principales: Kim, Jiyoung, Lee, Jeong-Moo, Yi, Nam-Joon, Hong, Suk Kyun, Choi, YoungRok, Hong, Kwangpyo, Han, Eui Soo, Lee, Kwang-Woong, Suh, Kyung-Suk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8037026/
https://www.ncbi.nlm.nih.gov/pubmed/33918151
http://dx.doi.org/10.3390/jcm10071462
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author Kim, Jiyoung
Lee, Jeong-Moo
Yi, Nam-Joon
Hong, Suk Kyun
Choi, YoungRok
Hong, Kwangpyo
Han, Eui Soo
Lee, Kwang-Woong
Suh, Kyung-Suk
author_facet Kim, Jiyoung
Lee, Jeong-Moo
Yi, Nam-Joon
Hong, Suk Kyun
Choi, YoungRok
Hong, Kwangpyo
Han, Eui Soo
Lee, Kwang-Woong
Suh, Kyung-Suk
author_sort Kim, Jiyoung
collection PubMed
description 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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spelling pubmed-80370262021-04-12 Long-Term Outcomes of Abdominal Wall Reconstruction with Expanded Polytetrafluoroethylene Mesh in Pediatric Liver Transplantation Kim, Jiyoung Lee, Jeong-Moo Yi, Nam-Joon Hong, Suk Kyun Choi, YoungRok Hong, Kwangpyo Han, Eui Soo Lee, Kwang-Woong Suh, Kyung-Suk J Clin Med Article 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. MDPI 2021-04-02 /pmc/articles/PMC8037026/ /pubmed/33918151 http://dx.doi.org/10.3390/jcm10071462 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Jiyoung
Lee, Jeong-Moo
Yi, Nam-Joon
Hong, Suk Kyun
Choi, YoungRok
Hong, Kwangpyo
Han, Eui Soo
Lee, Kwang-Woong
Suh, Kyung-Suk
Long-Term Outcomes of Abdominal Wall Reconstruction with Expanded Polytetrafluoroethylene Mesh in Pediatric Liver Transplantation
title Long-Term Outcomes of Abdominal Wall Reconstruction with Expanded Polytetrafluoroethylene Mesh in Pediatric Liver Transplantation
title_full Long-Term Outcomes of Abdominal Wall Reconstruction with Expanded Polytetrafluoroethylene Mesh in Pediatric Liver Transplantation
title_fullStr Long-Term Outcomes of Abdominal Wall Reconstruction with Expanded Polytetrafluoroethylene Mesh in Pediatric Liver Transplantation
title_full_unstemmed Long-Term Outcomes of Abdominal Wall Reconstruction with Expanded Polytetrafluoroethylene Mesh in Pediatric Liver Transplantation
title_short Long-Term Outcomes of Abdominal Wall Reconstruction with Expanded Polytetrafluoroethylene Mesh in Pediatric Liver Transplantation
title_sort long-term outcomes of abdominal wall reconstruction with expanded polytetrafluoroethylene mesh in pediatric liver transplantation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8037026/
https://www.ncbi.nlm.nih.gov/pubmed/33918151
http://dx.doi.org/10.3390/jcm10071462
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