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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Sanada, Y. Mizuta, K. Urahashi, T. Umehara, M. Wakiya, T. Okada, N. Hayashida, M. Egami, S. Hishikawa, S. Kawano, Y. Ushijima, K. Otomo, S. Sakamoto, K. Fujiwara, T. Sakuma, Y. Hyodo, M. Yasuda, Y. Kawarasaki, H. |
| Description | Country affiliation: Japan Author Affiliation: Sanada Y ( Department of Transplant Surgery, Jichi Medical University, Shimotsuke City, Tochigi, Japan. yuki371@jichi.ac.jp) |
| Abstract | BACKGROUND: There have been few reports on the management of intra-abdominal drains after living donor liver transplantation (LDLT). We retrospectively investigated changes in ascitic data related to management of an intra-abdominal drain. PATIENTS AND METHODS: Between March 2008 and June 2009, we performed 28 LDLT. On the first and the fifth postoperative day (POD) after LDLT, we examined the number of ascites cells and cell fractions as well as performed biochemical examination and cultures. RESULTS: The day of removal of the drain for massive ascites (10 mL/kg/d or more) was 14.2 ± 5.4 POD; for less than 10 mL/kg/d it was 8.7 ± 1.9 POD (P < .001). Nine patients were ascites culture positive; long-term placement of the drain caused an infection in two patients. CONCLUSIONS: When the amount of ascitic fluid on the fifth POD after LDLT was small, it was important to assess the properties of the ascitic fluid because of the possibility of a drain infection or of poor drainage. If the ascitic neutrophil count is less than 250/mm(3) or the examined ascites is normal, intra-abdominal drains should be removed. |
| File Format | HTM / HTML |
| ISSN | 00411345 |
| Issue Number | 10 |
| Journal | Transplantation Proceedings |
| Volume Number | 42 |
| e-ISSN | 18732623 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2010-12-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Transplantation__semicolon__medicine Drainage Liver Transplantation Living Donors Humans Retrospective Studies Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Transplantation Surgery |
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