Incidence and management of abdominal closure-related complications in adult intestinal transplantation

Chiara Zanfi, Matteo Cescon, Augusto Lauro, Alessandro Dazzi, Giorgio Ercolani, Gian Luca Grazi, Massimo Del Gaudio, Matteo Ravaioli, Alessandro Cucchetti, Giuliano La Barba, Matteo Zanello, Riccardo Cipriani, Antonio Daniele Pinna

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

BACKGROUND.: We sought to determine the best strategy to overcome difficult abdominal wall closures in intestinal transplantation (ITx). METHODS.: Among 38 adult recipients of 39 ITxs from deceased donors, the median number of previous laparotomies was 2.0 per patient, with a median donor-to-recipient body weight ratio of 1.1. Eight patients (21%) had full residual intestinal length before transplant. Abdominal wall closure after transplant was considered difficult in 15 (39.5%) patients (group A). To overcome size mismatching, we performed two graft reductions, five skin-only closures, one two-step abdominal wall closure, four prosthetic mesh closures, and three abdominal wall transplants. In the remaining 23 (60.5%) patients, a regular abdominal closure was performed (group B). RESULTS.: Twelve patients (32%) experienced complications related to abdominal wall closure, 10 (67%) in group A and 2 (8.7%) in group B (P

Original languageEnglish
Pages (from-to)1607-1609
Number of pages3
JournalTransplantation
Volume85
Issue number11
DOIs
Publication statusPublished - Jun 15 2008

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Abdominal Wall
Transplantation
Incidence
Transplants
Tissue Donors
Laparotomy
Body Weight
Skin

Keywords

  • Abdominal wall transplant
  • Donor-to-recipient body weight ratio
  • Intestinal transplant

ASJC Scopus subject areas

  • Transplantation
  • Immunology

Cite this

Incidence and management of abdominal closure-related complications in adult intestinal transplantation. / Zanfi, Chiara; Cescon, Matteo; Lauro, Augusto; Dazzi, Alessandro; Ercolani, Giorgio; Grazi, Gian Luca; Gaudio, Massimo Del; Ravaioli, Matteo; Cucchetti, Alessandro; Barba, Giuliano La; Zanello, Matteo; Cipriani, Riccardo; Pinna, Antonio Daniele.

In: Transplantation, Vol. 85, No. 11, 15.06.2008, p. 1607-1609.

Research output: Contribution to journalArticle

Zanfi, C, Cescon, M, Lauro, A, Dazzi, A, Ercolani, G, Grazi, GL, Gaudio, MD, Ravaioli, M, Cucchetti, A, Barba, GL, Zanello, M, Cipriani, R & Pinna, AD 2008, 'Incidence and management of abdominal closure-related complications in adult intestinal transplantation', Transplantation, vol. 85, no. 11, pp. 1607-1609. https://doi.org/10.1097/TP.0b013e318174db6f
Zanfi, Chiara ; Cescon, Matteo ; Lauro, Augusto ; Dazzi, Alessandro ; Ercolani, Giorgio ; Grazi, Gian Luca ; Gaudio, Massimo Del ; Ravaioli, Matteo ; Cucchetti, Alessandro ; Barba, Giuliano La ; Zanello, Matteo ; Cipriani, Riccardo ; Pinna, Antonio Daniele. / Incidence and management of abdominal closure-related complications in adult intestinal transplantation. In: Transplantation. 2008 ; Vol. 85, No. 11. pp. 1607-1609.
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