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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
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Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
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Abdominal surgery after lung transplantation.

Michael J Leonardi1, Kevin G Jamil, Bryan Hiscox

  • 1Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, USA.

The American Surgeon
|November 26, 2010
PubMed
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Abdominal operations after lung transplantation (LuT) are associated with high mortality, especially emergent procedures. Elective surgeries are generally safe, but specific operations carry significant risks.

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Area of Science:

  • Abdominal Surgery
  • Transplant Surgery
  • Gastroenterology

Background:

  • Lung transplantation (LuT) recipients may require abdominal operations.
  • Outcomes of these operations in LuT patients are not well-established.

Purpose of the Study:

  • To evaluate the outcomes of abdominal operations in patients who have undergone lung transplantation.
  • To identify risk factors for mortality after these procedures.

Main Methods:

  • Retrospective review of 450 lung transplant recipients from April 1994 to April 2009.
  • Analysis of 65 abdominal operations performed on 52 patients.
  • Multivariate analysis to identify predictors of 30-day mortality.

Main Results:

  • 27% of patients died within 30 days of surgery.
  • Emergent surgery, multiple comorbidities, and male gender predicted 30-day mortality.
  • Ulcer repair, major vascular procedures, pancreatic surgery, splenectomy, and exploratory laparotomy had >50% 30-day mortality.

Conclusions:

  • Elective abdominal operations in lung transplant recipients are safe.
  • Emergent abdominal operations carry an extremely high short-term mortality rate.
  • Prophylaxis for ulcer disease and early elective intervention for surgical issues are recommended.