Use of fibrinogen and thrombin sponge in pediatric split liver transplantation

Abstract Purpose: To analyze the use of this sponge in pediatric patients undergoing split-liver transplantation. Methods: Retrospective study, including 35 pediatric patients undergoing split-liver transplantation, divided into two groups according to the use of the sponge: 18 patients in Group A (no sponge) and 17 in Group B (with sponge). Results: The characteristics of recipients and donors were similar. We observed greater number of reoperation due to bleeding in the wound area in Group A (10 patients - 55.5%) than in Group B (3 patients - 17.6%); p = 0.035. The median volume of red blood cells transfused in Group A was significantly higher (73.4 ± 102.38 mL/kg) than that in Group B (35.1 ± 41.67 mL/kg); p = 0.048. Regarding bile leak there was no statistical difference. Conclusion: The use of the human fibrinogen and thrombin sponge, required lower volume of red blood cell transfusion and presented lower reoperation rates due to bleeding in the wound area.

Bibliographic Details

Main Authors:	Vicentine,Fernando Pompeu Piza, Gonzalez,Adriano Miziara, Beninni,Barbara Burza, Azevedo,Ramiro Anthero de, Linhares,Marcelo Moura, Goldenberg,Alberto, Lopes Filho,Gaspar de Jesus, Martins,Jose Luiz, Salzedas Netto,Alcides Augusto
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia 2017
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502017000800673
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