Staged abdominal closure after small bowel or multivisceral transplantation.

摘要: Sheth J, Sharif K, Lloyd C, Gupte G, Kelly D, de Ville Goyet Millar AJ, Mirza DF, Chardot C. Staged abdominal closure after small bowel or multivisceral transplantation. Pediatr Transplantation 2012: 16: 36–40. © 2011 John Wiley & Sons A/S. Abstract:  Following paediatric SBMT, size discrepancy between the recipient’s abdomen and graft may lead to ACS, dysfunction, death. We report our experience with SAC in these patients. Between 04/1993 03/2009, 57 children underwent 62 SBMTs. When wall tension seemed excessive for safe PAC, was performed, using a Silastic® sheet vacuum occlusive dressing. Transplantations (23 combined liver [CLB]) were compared those PAC [14 ISB 25 CLB]. Indications transplantation, preoperative status (after stratification ISB/CLB transplants), age at donor-to-recipient weight ratio, reduction and/or liver, incidence of wound complications not different both groups. Post-operative intubation, stay intensive care unit, hospital prolonged SAC. Two deaths related ACS none Since 2000, one-yr patient survival is 73% transplantation 57% vs. 75% CLB SAC, respectively (NS). safely reduces severe SBMT can be recipients.