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Total hepatic mesh wrap for hemostasis.

S L Stevens¹, K I Maull, B L Enderson

¹Department of Surgery, University of Tennessee Medical Center, Knoxville 37920.

Surgery, Gynecology & Obstetrics

|August 1, 1992

Summary

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A novel hepatic tamponade technique using total mesh wrap effectively controls severe liver bleeding. This method improves hemostasis and avoids complications associated with traditional perihepatic packing.

Area of Science:

Surgical techniques
Hepatobiliary surgery
Hemostasis

Background:

Perihepatic packing is a common method for controlling severe liver bleeding.
Perihepatic packing can lead to complications such as infection, abscess formation, and bleeding recurrence.

Purpose of the Study:

To introduce and evaluate a novel technique of hepatic tamponade using total mesh wrap.
To assess the feasibility and effectiveness of this technique in controlling severe parenchymal bleeding.

Main Methods:

A technique involving total mesh wrap for hepatic tamponade was developed.
The geometric, technical, and mechanical feasibility of the method was assessed.
The effectiveness in controlling severe parenchymatous bleeding was evaluated.

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Main Results:

The hepatic tamponade technique using total mesh wrap was found to be geometrically, technically, and mechanically feasible.
The method demonstrated effectiveness in controlling severe parenchymatous bleeding.

Conclusions:

Hepatic tamponade using total mesh wrap is a viable alternative to perihepatic packing.
This technique offers an effective approach to improving hemostasis and avoiding complications in severe liver bleeding.