No abstract

In all, 196 children received liver transplants; 40 of them (20 boys and 20 girls; median age of 4 years) were treated using PTC due to biliary complications. Sixty-one PTC procedures were performed in 40 liver transplant recipients. Technically successful PTC was achieved in 87.5% of the patients. The probability of a patient not developing unfavorable outcomes 1, 5, and 10 years after treatment was 88.9%, 83.0%, and 74.1%.

HighlightsSclerosing encapsulating peritonitis is a rare and dangerous complication.Kidney transplanted patients with peritoneal dyalisis history are in risk of SEP.Adhesiolisis is the ideal surgical management for Sclerosing encapsulating peritonitis.

Liver transplantation is an option that improves quality of life and prolongs life expectancy in patients with different types of liver disease. Liver transplantation is controversial for colorectal metastases and is not recommended in clinical practice guidelines. In this case report, we present, to our knowledge, the first liver transplantation for colorectal metastases conducted in Colombia, with a successful follow-up of more than 2 years. Patients with these characteristics who underwent liver transplantation experience reduced mortality and exponentially improved quality of life.

Objective: The aim of this case series is to describe the experience of implementing damage control resuscitation (DCR) in patients with major obstetric hemorrhage (MOH) between January 2005 and December 2015 in the Fundación Valle del Lili, Cali, Colombia. Materials and methods:This is a prospective descriptive study of a case series from 108 patients with MOH who were subjected to DCR. All patients were operated on using a standardized surgical technique in accordance with the institutional protocol. Results:The median age was 28 years, with a gestational age of 38 weeks. The principal associated diagnosis was severe preeclampsia (in 39% of cases). A total of 96 patients presented massive postpartum hemorrhage, and 75% of these cases presented after a cesarean section. In all patients, normal control of bleeding was achieved, 60% during the first surgical period. The Acute Physiology and Chronic Health Evaluation score was 14, with an overall mortality of 6.48%, far below the expected mortality according to the clinical severity of these patients. Conclusion:This study includes the biggest series of pregnant women with MOH, in a critical condition, in whom DCR was used, during which rapid control of bleeding was achieved, associated with a significantly lower mortality than expected. RESUMENObjetivo: El objetivo de esta serie de casos es describir la experiencia de la aplicación de la CCD (Cirugía de control de daños) en pacientes con hemorragia obstétrica mayor (HOM) entre enero del 2005 y diciembre del 2015 en la Fundación Valle del Lili, Cali, Colombia.Métodos: Estudio descriptivo prospectivo de una serie de casos de 108 pacientes con HOM sometidas a CCD. Todas las pacientes fueron operadas usando una técnica quirúrgica estandarizada, acorde al protocolo institucional.Resultados: La mediana de edad fue de 28 años, con edad gestacional de 38 semanas. El diagnosticó principal asociado fue pre eclampsia severa (en 39% de los casos). 96 presentaron hemorragia postparto masiva (HPP) y el 75% de los casos se presento después de cesárea. En todas las pacientes se logro el control del sangrado, 60% en el primer tiempo quirúrgico. El APACHE II promedio fue de 14 con una mortalidad global de 6,48%, muy por debajo de la mortalidad esperada para la severidad clínica de estas pacientes. Conclusiones:Este estudio incluye la serie más grande de gestantes con HOM en condiciones críticas, en quienes se utilizó CCD, con rápido control del sangrado, asociado a una mortalidad considerablemente menor a la esperada.Palabras Clave: Choque hipovolémico, Cuidados intensivos quirúrgicos, Hemorragia postparto, Tratamiento de urgencia. PAJT ORIGINAL ARTICLE