TY - JOUR
T1 - Incidence and management of abdominal closure-related complications in adult intestinal transplantation
AU - Zanfi, Chiara
AU - Cescon, Matteo
AU - Lauro, Augusto
AU - Dazzi, Alessandro
AU - Ercolani, Giorgio
AU - Grazi, Gian Luca
AU - Gaudio, Massimo Del
AU - Ravaioli, Matteo
AU - Cucchetti, Alessandro
AU - Barba, Giuliano La
AU - Zanello, Matteo
AU - Cipriani, Riccardo
AU - Pinna, Antonio Daniele
PY - 2008/6/15
Y1 - 2008/6/15
N2 - BACKGROUND.: We sought to determine the best strategy to overcome difficult abdominal wall closures in intestinal transplantation (ITx). METHODS.: Among 38 adult recipients of 39 ITxs from deceased donors, the median number of previous laparotomies was 2.0 per patient, with a median donor-to-recipient body weight ratio of 1.1. Eight patients (21%) had full residual intestinal length before transplant. Abdominal wall closure after transplant was considered difficult in 15 (39.5%) patients (group A). To overcome size mismatching, we performed two graft reductions, five skin-only closures, one two-step abdominal wall closure, four prosthetic mesh closures, and three abdominal wall transplants. In the remaining 23 (60.5%) patients, a regular abdominal closure was performed (group B). RESULTS.: Twelve patients (32%) experienced complications related to abdominal wall closure, 10 (67%) in group A and 2 (8.7%) in group B (P
AB - BACKGROUND.: We sought to determine the best strategy to overcome difficult abdominal wall closures in intestinal transplantation (ITx). METHODS.: Among 38 adult recipients of 39 ITxs from deceased donors, the median number of previous laparotomies was 2.0 per patient, with a median donor-to-recipient body weight ratio of 1.1. Eight patients (21%) had full residual intestinal length before transplant. Abdominal wall closure after transplant was considered difficult in 15 (39.5%) patients (group A). To overcome size mismatching, we performed two graft reductions, five skin-only closures, one two-step abdominal wall closure, four prosthetic mesh closures, and three abdominal wall transplants. In the remaining 23 (60.5%) patients, a regular abdominal closure was performed (group B). RESULTS.: Twelve patients (32%) experienced complications related to abdominal wall closure, 10 (67%) in group A and 2 (8.7%) in group B (P
KW - Abdominal wall transplant
KW - Donor-to-recipient body weight ratio
KW - Intestinal transplant
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U2 - 10.1097/TP.0b013e318174db6f
DO - 10.1097/TP.0b013e318174db6f
M3 - Article
C2 - 18551067
AN - SCOPUS:47049083534
SN - 0041-1337
VL - 85
SP - 1607
EP - 1609
JO - Transplantation
JF - Transplantation
IS - 11
ER -