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

2021 ◽  
Vol 10 (7) ◽  
pp. 1462
Author(s):  
Jiyoung Kim ◽  
Jeong-Moo Lee ◽  
Nam-Joon Yi ◽  
Suk Kyun Hong ◽  
YoungRok Choi ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
High Risk ◽  
Compartment Syndrome ◽  
Abdominal Wall ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Wall Reconstruction ◽  
Pediatric Liver Transplantation ◽  
Pediatric Liver ◽  
Abdominal Compartment

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.

scholarly journals Long term outcomes of abdominal wall closure with ePTFE Gore-Tex Mesh in pediatric liver transplantation

2020 ◽  
Vol 34 (1) ◽  
pp. S150-S150
Author(s):  
Jeong-Moo Lee ◽  
Jiyoung Kim ◽  
Nam-Joon Yi ◽  
Suk Kyun Hong ◽  
Kwangpyo Hong ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Abdominal Wall ◽  
Pediatric Liver Transplantation ◽  
Abdominal Wall Closure ◽  
Long Term Outcomes ◽  
Pediatric Liver

Physiologic changes with abdominal wall reconstruction in a porcine abdominal compartment syndrome model

Hernia ◽  
2014 ◽  
Vol 19 (2) ◽  
pp. 313-321 ◽  
Author(s):  
R. Mohan ◽  
H. G. Hui-Chou ◽  
H. D. Wang ◽  
A. J. Nam ◽  
M. Magarakis ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Wall ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Wall Reconstruction ◽  
Abdominal Compartment

NEW DEVELOPMENTS IN ABDOMINAL WALL RECONSTRUCTION AFTER ABDOMINAL COMPARTMENT SYNDROME DECOMPRESSION

2007 ◽  
Vol 62 (sup1) ◽  
pp. 220-224 ◽  
Author(s):  
K. Libberecht ◽  
S.D.M. Colpaert ◽  
R. Van Hee ◽  
J.-L. Jadoul ◽  
S. De Clercq ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Wall ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Wall Reconstruction ◽  
New Developments ◽  
Abdominal Compartment

scholarly journals Intra-Abdominal Hypertension and Abdominal Compartment Syndrome after Abdominal Wall Reconstruction: Quaternary Syndromes?

2016 ◽  
Vol 106 (2) ◽  
pp. 97-106 ◽  
Author(s):  
A. W. Kirkpatrick ◽  
D. Nickerson ◽  
D. J. Roberts ◽  
M. J. Rosen ◽  
P. B. McBeth ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Organ Failure ◽  
Abdominal Wall ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Wall Reconstruction ◽  
Abdominal Hernia ◽  
Abdominal Pressure ◽  
Systemic Complications ◽  
Abdominal Hypertension ◽  
Abdominal Compartment

Background and Aims: Reconstruction with reconstitution of the container function of the abdominal compartment is increasingly being performed in patients with massive ventral hernia previously deemed inoperable. This situation places patients at great risk of severe intra-abdominal hypertension and abdominal compartment syndrome if organ failure ensues. Intra-abdominal hypertension and especially abdominal compartment syndrome may be devastating systemic complications with systematic and progressive organ failure and death. We thus reviewed the pathophysiology and reported clinical experiences with abnormalities of intra-abdominal pressure in the context of abdominal wall reconstruction. Material and Methods: Bibliographic databases (1950–2015), websites, textbooks, and the bibliographies of previously recovered articles for reports or data relating to intra-abdominal pressure, intra-abdominal hypertension, and the abdominal compartment syndrome in relation to ventral, incisional, or abdominal hernia repair or abdominal wall reconstruction. Results: Surgeons should thus consider and carefully measure intra-abdominal pressure and its resultant effects on respiratory parameters and function during abdominal wall reconstruction. The intra-abdominal pressure post-operatively will be a result of the new intra-peritoneal volume and the abdominal wall compliance. Strategies surgeons may utilize to ameliorate intra-abdominal pressure rise after abdominal wall reconstruction including temporizing paralysis of the musculature either temporarily or semi-permanently, pre-operative progressive pneumoperitoneum, permanently removing visceral contents, or surgically releasing the musculature to increase the abdominal container volume. In patients without complicating shock and inflammation, and in whom the abdominal wall anatomy has been so functionally adapted to maximize compliance, intra-abdominal hypertension may be transient and tolerable. Conclusions: Intra-abdominal hypertension/abdominal compartment syndrome in the specific setting of abdominal wall reconstruction without other complication may be considered as a quaternary situation considering the classification nomenclature of the Abdominal Compartment Society. Greater awareness of intra-abdominal pressure in abdominal wall reconstruction is required and ongoing study of these concerns is required.

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