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SHR Neuro Cancer Cardio Lipid Metab Microb

Weiss, S; Messner, F; Huth, M; Weissenbacher, A; Denecke, C; Aigner, F; Brandl, A; Dziodzio, T; Sucher, R; Boesmueller, C; Oellinger, R; Schneeberger, S; Oefner, D; Pratschke, J; Biebl, M.
Impact of abdominal drainage systems on postoperative complication rates following liver transplantation.
Eur J Med Res. 2015; 20(1):66 Doi: 10.1186/s40001-015-0163-z [OPEN ACCESS]
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Co-authors Med Uni Graz
Sucher Robert
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Abstract:
BACKGROUND: Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. METHODS: All consecutive full-size orthotopic liver transplantations (LTX) performed over a 7-year period were included in this retrospective analysis. Abdominal drain groups were divided into open-circuit drains and closed-circuit drains. Data are reported as total number (%) or median (range); for all comparisons a p value <0.05 was considered statistically significant. RESULTS: A total of 256 LTX [age 56.89 (0.30-75.21) years; MELD 14.5 (7-40)] was included; 56 (21.8 %) patients received an open-circuit Easy Flow Drain (Group 1) and 200 (78.2 %) a closed-circuit Robinson Drainage System (Group 2). For Groups 1 and 2, overall infection rates were 78.6 and 56 % (p = 0.001), abdominal infection rates 50.82 and 21.92 % (p = 0.001), yeast infection rates 37 and 23 % (p = 0.02), abdominal bleeding rates 26.78 and 17 % (p = 0.07), biliary complication rates 14.28 and 13.5 % (p = 0.51), respectively. CONCLUSIONS: In this retrospective series, open-circuit drains were associated with more abdominal complications, mainly due to intraabdominal infections, than were closed-circuit drains.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent - administration & dosage
Aged - administration & dosage
Child - administration & dosage
Drainage - administration & dosage
Female - administration & dosage
Humans - administration & dosage
Liver Transplantation - adverse effects
Male - administration & dosage
Middle Aged - administration & dosage
Postoperative Complications - administration & dosage
Retrospective Studies - administration & dosage
Young Adult - administration & dosage

Find related publications in this database (Keywords)
Liver transplantation
Drainage systems
Postoperative complications
Open-circuit drainage
Closed-circuit drainage
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