Successful use of size-mismatched liver allografts in children by delayed primary closure of the abdominal wall

✍ Scribed by Mr A. S. Soin; P. J. Friend; G. Noble-Jamieson; C. J. E. Watson; N. V. Jamieson; R. Y. Calne; N. Barnes

• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 226 KB
• Volume: 83
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800831111

✦ Synopsis

Children who are too ill to await a liver graft of suitable size may be transplanted with a relatively oversized graft by leaving the abdominal wound partially open, the defect being bridged with polypropylene mesh and the mesh reduced in stages until it can be removed and the wound directly closed. This technique has been used in seven children who received nine grafts (five reduced and four full size). Their mean age was 7.3 (range 05-11) months and mean weight 5.8 (range 2.3-7.2) kg. Progressive