Extension of the abdomen was closed liver transplant patient care.docVIP

 PAGE \* MERGEFORMAT 10 Extension of the abdomen was closed liver transplant patient care [Keywords:] Liver transplantation; extended abdomen was closed; Care Liver transplantation is the treatment of end-stage liver disease the best way to [1]. Orthotopic liver transplantation in significant visceral edema, retroperitoneal hematoma, or graft volume and patient access to a larger size, the abdominal wall tension high and the abdomen was closed difficult. If the abdomen was closed by force, intra-abdominal pressure will be significantly increased, resulting in abdominal wall tissue necrosis, infection, abdominal wall dehiscence and abdominal compartment syndrome [2]. this case to be postponed in order to reduce intra-abdominal pressure on the abdomen was closed, to be intra-abdominal reduce the line pressure after the abdomen was closed permanently. However, an extension of the abdomen was closed abdominal infections and will increase the incidence of other complications, to care more difficult. I Division in 2006, 1 case of successful orthotopic liver transplantation in delayed care related abdominal patients, now nursing are described below. About 1 case Male patients, aged 35, due to limb weakness, body skin and sclera yellow dye, with lower extremity edema to our hospital, a diagnosis of “hepatitis, cirrhosis (decompensated), portal hypertension, hypersplenism, ascites, esophageal lower varices. “in the December 22, 2006 in our hospital allogeneic liver transplantation. After that the liver and gastrointestinal tract in patients with edema, ischemia-reperfusion injury and consider the metabolic acidosis caused. abdomen was closed found during inferior vena cava pressure of up to 24cm water column. decided to postpone the abdomen was closed, sterile plastic film to cover the wound with absorbable suture to secure it in the abdominal wall. postoperative patients into the ICU with tracheal intubation and respiratory care ward mechanical ventilation.