Auxiliary transplantation of a partially hepatectomized liver in pigs with fulminant hepatic failure.
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Biomedical subjects
Publications and source records attributed to C B Reuvers.
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Auxiliary, heterotopic transplantation of 60% of the liver was performed in 24 beagles and 24 pigs. Operative mortality was low and graft survival was greatly improved by DLA-matching in the dog. The graft supplied by arterial and portal blood gave excellent metabolic support after the host liver was rendered ischemic by six hours clamping of the hepatic artery.
Twenty-four confirmed well-defined abdominal abscesses and one abscess in the thorax were percutaneously drained in 21 patients. In all, 28 puncture and drainage procedures were performed. Nineteen abscesses were drained without further surgery (76%). The high success rate, combined with minimal complications and low overall mortality (9.5%), indicates that ultrasound-guided percutaneous drainage is probably the method of choice in the treatment of well-defined, unilocular abscesses, avoiding the risk of major surgery.
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