Use of fibrinogen and thrombin sponge in pediatric split liver transplantation
Acta cir. bras
;
32(8): 673-679, Aug. 2017. tab, graf
Article
in English
| LILACS
| ID: biblio-886232
ABSTRACT
Abstract Purpose:
To analyze the use of this sponge in pediatric patients undergoing split-liver transplantation.Methods:
Retrospective study, including 35 pediatric patients undergoing split-liver transplantation, divided into two groups according to the use of the sponge 18 patients in Group A (no sponge) and 17 in Group B (with sponge).Results:
The characteristics of recipients and donors were similar. We observed greater number of reoperation due to bleeding in the wound area in Group A (10 patients - 55.5%) than in Group B (3 patients - 17.6%); p = 0.035. The median volume of red blood cells transfused in Group A was significantly higher (73.4 ± 102.38 mL/kg) than that in Group B (35.1 ± 41.67 mL/kg); p = 0.048. Regarding bile leak there was no statistical difference.Conclusion:
The use of the human fibrinogen and thrombin sponge, required lower volume of red blood cell transfusion and presented lower reoperation rates due to bleeding in the wound area.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Fibrinogen
/
Hemostatics
/
Thrombin
/
Surgical Sponges
/
Liver Transplantation
/
Hemostasis, Surgical
Type of study:
Observational study
Limits:
Female
/
Humans
/
Infant
/
Male
Language:
English
Journal:
Acta cir. bras
Journal subject:
General Surgery
/
Procedimentos Cir£rgicos Operat¢rios
Year:
2017
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal de São Paulo/BR
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