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Use of the breast implant for liver graft malposition

✍ Scribed by Mera, Santiago ;Santoyo, Julio ;Suárez, Miguel Angel ;Bondía, José Antonio ;Cabello, Antonio Jes ;Jiménez, Manuel ;Ribeiro, Marta ;Fernández-Aguilar, José Luis ;Pérez-Daga, José Antonio ;de la Fuente, Agustín

Publisher
Wiley (John Wiley & Sons)
Year
1999
Tongue
English
Weight
53 KB
Volume
5
Category
Article
ISSN
1074-3022

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✦ Synopsis

Transplantation of a small liver into a large patient may cause problems with correct reperfusion of the graft because of torsion of the hepatic pedicle, leading to malfunction of the transplanted organ. We describe the case of a 60-year-old man with alcoholic cirrhosis and hepatitis B virus who received a small-sized liver graft. Owing to the lack of adequate reperfusion of the transplanted organ arising from pedicular kinking caused by disparate sizes, a breast implant was placed behind the graft as a means of support, thereby resolving the problem. The use of prosthetic materials for the correct placement of grafts with size incongruity is also discussed, and the literature is reviewed.

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