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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Hepatobiliary+Pancreat+Surg
2016 ; 20
(4
): 197-200
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Fibrin glue-infiltrating hemostasis for intractable bleeding from the liver or
spleen during liver transplantation
#MMPMID28261700
Hwang S
; Jung DH
; Song GW
; Ha TY
; Jwa EK
; Lee SG
Ann Hepatobiliary Pancreat Surg
2016[Nov]; 20
(4
): 197-200
PMID28261700
show ga
Portal hypertension induces congestion of the liver and spleen, thus any capsular
or parenchymal injury to these organs can produce intractable bleeding which
generally is not easily controlled. To cope with intractable bleeding such as
being encountered during liver transplantation, we developed an infiltrating
hemostasis technique as a conceptual shift from conventional application methods,
in which fibrin glue is locally injected into the bleeding area on the liver or
spleen. This technique, which uses a fibrin glue kit (2 ml kit; Greenplast, Green
Cross, Seoul, Korea), consists of inserting the needle 0.5-1 cm deep at the
bleeding point, forcefully injecting 1 ml of fibrin glue contained in the fibrin
glue kit, and then slowly withdrawing the needle with continuous forceful
injection of the remaining 1 ml of fibrin glue. We have successfully performed
this procedure in 6 cases of living donor liver transplantation and in 2 cases of
non-transplant resection of the cirrhotic livers with hepatocellular carcinoma.
This technique was also successfully applied to one liver transplant recipient in
which intractable bleeding occurred from a small laceration at the spleen. Our
fibrin glue-infiltrating hemostasis would be indicated to intractable bleeding
from the hepatic or splenic cut surface. In such a situation, it would be
applicable as a second-line rescue method for hemostasis.
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