Hepato-duodenal Ligament Occlusion and Classic Technique in Liver Transplant
- Conditions
- Liver Transplant
- Registration Number
- NCT04265157
- Lead Sponsor
- Assiut University
- Brief Summary
Liver transplantation was historically associated with massive blood loss. Many factors have contributed to the decline in bleeding and transfusion in the past two decades including refinement of surgical techniques, anesthetics management and the use of point of care guided goal-directed hemostatic therapies. Increasing awareness of the adverse associations of allogenic transfusion has driven the quest for transfusion-free transplantation. Pre-operative management of preoperative anemia and targeted correction of coagulopathy is done to decrease blood transfusion. Liver transplantation is associated with the potential for massive operative blood loss, which has been recognized as one of the main causes of morbidity and mortality after liver transplantation. Therefore, a fine surgical procedure to reduce intraoperative hemorrhage is necessary for favorable outcomes of liver transplantation.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 50
- All patients undergoing Living Donor Liver Transplantation accepted according to hospital protocol
- All patients with liver Cirrhosis who have Porto systemic collaterals based on ct angiography
- Acute fulminant liver failure
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The amount of intraoperative blood loss measure by Cubic Cm 2 hours
- Secondary Outcome Measures
Name Time Method