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New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
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[Blood autologous transfusion at portal hypertension]

G A Igenbaeva, M M Saadulaeva

    Khirurgiia
    |December 25, 2009
    PubMed

    Preparation of auto-blood was performed for 140 patients with liver cirrhosis in the inactive phase. Not more than 200-300 ml of blood was taken from patients with cytopenia ("hypersplenism"), 400-450 ml--from patients with normal clinicobiochemical parameters. Besides autohemotransfusion, all patients underwent re-infusion of lost blood during the operation including the blood stored in the removed spleen. The volume of intra-operative hemorrhage varied from 200 to 1000 ml. The total volume of sampled blood amounted 44.2 L, 316 ml in average for one patient; 52 liters 880 ml were infused during the operation, 378 ml--in average. Auto-blood application reduced intra-operative hemorrhage in 2 times and number of postoperative complications--in 2.5 times.

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