Biological abdominal wall expansion in pediatric liver recipients after transplantation with large‐for‐size organs

Abstract

Background: After pediatric split liver transplantation, intra-abdominal loss of domain due to large-for-size left lateral grafts is a frequent problem for fascial closure and potentially leads to reduced liver perfusion and abdominal compartment syndrome.Therefore, delayed fascial closure with the use of temporary silastic meshes and reoperation or alternative fascial bridging procedures are necessary. How to cite this article: Goetz M, Jurczyk M, Grothues D, et al. Biological abdominal wall expansion in pediatric liver recipients after transplantation with large-for-size organs.

Size‐mismatched transplantation from large donors to small recipients is associated with pancreas graft thrombosis: A retrospective national observational study

“…Considering these points comprehensively, we hypothesized that the risk of thrombosis associated with donor obesity is not only influenced by the risk of graft steatosis but also by large‐size graft. In liver transplantation, oversized transplants have been associated with more vascular complications compared with size‐matched transplants 18–20 . Large‐size graft into the small abdominal cavity compresses the inferior vena cava and impairs portal vein flow, causing abdominal compartment syndrome 21 .…”

“…In liver transplantation, oversized transplants have been associated with more vascular complications compared with size-matched transplants. [18][19][20] Large-size graft into the small abdominal cavity compresses the inferior vena cava and impairs portal vein flow, causing abdominal compartment syndrome. 21 To our knowledge, there are no reports discussing the relevance of size mismatch in pancreas transplantation.…”