BACKGROUND: Albeit accepted in the @entity130 setting, use of peri-hepatic gauze packing has been rarely reported during liver transplantation. AIMS: To assess the results of packing in liver transplantation. METHODS: We reviewed clinical characteristics, intraoperative events and postoperative outcome of consecutive adult liver transplantation recipients between 2003 and 2013. @entity1 treated with packing were compared to no-packing @entity1 and to matched controls selected using a propensity score. RESULTS: Of 1396 recipients, 107 were treated with packing for @entity99 (76.6%), allograft damage (12.1%) or partial outflow obstruction (11.2%). Urgent reoperation for ongoing @entity548 was required in 6 (5.6%). Correction of haemodynamic and coagulation parameters was constantly achieved. Overall, @entity1 (90% vs. 98%, p<0.001) and graft (83.2% vs. 94.7%, p<0.001) 3-month survival was significantly reduced in packing @entity1 . However, after matching, no significant difference was observed in @entity1 (89.3% vs. 95.2%, p=0.12) and graft (83.5% vs. 92.2%, p=0.06) 3-month survival. @entity1 survival was associated with recipient age (HR 2.59; p=0.04) and donor age*recipient MELD (HR 2.04; p=0.02), but not with packing (HR 1.81; p=0.29). CONCLUSIONS: In our experience, packing was a valuable adjunct to conventional means of haemostasis during liver transplantation and, after accounting for confounding covariates, was not associated with inferior outcomes.

Peri-hepatic gauze packing for the control of XXXX during liver transplantation: A retrospective study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'Patient'] @entity99 :: ('MESH:D056486', 'Disease') :: ['peri-hepatic bleeding'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity548 :: ('MESH:D006470', 'Disease') :: ['haemorrhage']
@entity548 :: (MESH:D006470,Disease) :: ['haemorrhage']
