肝移植时脐疝同步修复:来自单一机构的六年经验。

IF 0.3 Q4 TRANSPLANTATION International Journal of Organ Transplantation Medicine Pub Date : 2018-01-01 Epub Date: 2018-02-01
A J Perez, I N Haskins, A S Prabhu, D M Krpata, C Tu, S Rosenblatt, K Hashimoto, T Diago, B Eghtesad, M L J Rosen
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引用次数: 0

摘要

背景:脐疝在接受肝移植的终末期肝病患者中很常见。肝移植时对那些持续存在的患者的处理是很重要的。目的:评价在同一医院同时行原发性脐疝修复术(UHR)的患者肝移植的长期疗效。方法:对2010年至2016年同时行UHR和肝移植的患者进行回顾性分析。观察30天的发病率、死亡率、预后及长期疝复发率。结果:59例患者在肝移植时发生原发性UHR。所有疝均可复位,无复盖皮肤破裂或腹水渗漏。30天的发病率和死亡率包括5例(8%)浅表手术部位感染,1例(2%)深部手术部位感染,7例(12%)器官间隙感染。与UHR无关,10例(17%)患者意外返回手术室,16例(27%)患者在首次手术后30天内再次入院,1例(2%)患者死亡。平均随访21.8个月,7例(18%)患者出现脐疝复发。结论:尽管移植手术的围手术期发病率很高,但并发原发性UHR导致了可接受的长期复发率和最小的相关发病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Concurrent Umbilical Hernia Repair at the Time of Liver Transplantation: A Six-Year Experience from a Single Institution.

Background: Umbilical hernias are common in patients with end-stage liver disease undergoing liver transplantation. Management of those persisting at the time of liver transplantation is important to define.

Objective: To evaluate the long-term results of patients undergoing simultaneous primary umbilical hernia repair (UHR) at the time of liver transplantation at a single institution.

Methods: Retrospective chart review was performed on patients undergoing simultaneous UHR and liver transplantation from 2010 through 2016. 30-day morbidity and mortality outcomes and long-term hernia recurrence were investigated.

Results: 59 patients had primary UHR at the time of liver transplantation. All hernias were reducible with no overlying skin breakdown or leakage of ascites. 30-day morbidity and mortality included 5 (8%) superficial surgical site infections, 1 (2%) deep surgical site infection, and 7 (12%) organ space infections. Unrelated to the UHR, 10 (17%) patients had an unplanned return to the operating room, 16 (27%) were readmitted within 30 days of their index operation, and 1 (2%) patient died. With a mean follow-up of 21.8 months, 7 (18%) patients experienced an umbilical hernia recurrence.

Conclusion: Despite the high perioperative morbidity associated with the transplant procedure, concurrent primary UHR resulted in an acceptable long-term recurrence rate with minimal associated morbidity.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
0
审稿时长
12 weeks
期刊介绍: The International Journal of Organ Transplantation Medicine (IJOTM) is a quarterly peer-reviewed English-language journal that publishes high-quality basic sciences and clinical research on transplantation. The scope of the journal includes organ and tissue donation, procurement and preservation; surgical techniques, innovations, and novelties in all aspects of transplantation; genomics and immunobiology; immunosuppressive drugs and pharmacology relevant to transplantation; graft survival and prevention of graft dysfunction and failure; clinical trials and population analyses in the field of transplantation; transplant complications; cell and tissue transplantation; infection; post-transplant malignancies; sociological and ethical issues and xenotransplantation.
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