A Surgical Technique for Portal Vein Decompression in Retransplantation.
Summary of "A Surgical Technique for Portal Vein Decompression in Retransplantation."
Liver retransplantation is the only option for people who have a failing liver graft, but it can be technically challenging. Intraperitoneal adhesions often form after abdominal operations, which is true in liver retransplantation as well. Also, the liver hilum is scarred, which makes hilar dissection more difficult. In addition, dissection is further complicated in the setting of portal hypertension.
Venovenous bypass can be used for portomesenteric decompression. We describe an alternative technique for decompression of portal hypertension using an inferior mesenteric vein without placing the patient on venovenous bypass.
Division of Transplant Surgery, Department of Transplantation, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
This article was published in the following journal.
Name: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21935734
- DOI: http://dx.doi.org/10.1007/s11605-011-1679-3
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Medical and Biotech [MESH] Definitions
A type of surgical portasystemic shunt to reduce portal hypertension with associated complications of esophageal varices and ascites. It is performed percutaneously through the jugular vein and involves the creation of an intrahepatic shunt between the hepatic vein and portal vein. The channel is maintained by a metallic stent. The procedure can be performed in patients who have failed sclerotherapy and is an additional option to the surgical techniques of portocaval, mesocaval, and splenorenal shunts. It takes one to three hours to perform. (JAMA 1995;273(23):1824-30)
Anastomosis of splenic vein to renal vein to relieve portal hypertension.
A short thick vein formed by union of the superior mesenteric vein and the splenic vein.
Surgical portasystemic shunt between the portal vein and inferior vena cava.
Abnormal increase of resistance to blood flow within the hepatic PORTAL SYSTEM, frequently seen in LIVER CIRRHOSIS and conditions with obstruction of the PORTAL VEIN.