Rubber tourniquet technique: A simple, safe, and cost-effective method of hepatic resection in neonates and infants.

Abstract

BACKGROUND:

Despite the improvements in patient care, understanding of surgical anatomy of liver and surgical techniques, liver resection is a high-risk procedure specifically in infants and neonates; whose blood volume is limited (80 ml/kg). This report shares the experience of hepatic resection with "Rubber tourniquet technique" in patients less than 6-months of age.

METHODS:

Hepatic resection in a 4-month-old pair of Conjoined twins with shared liver and a 3-day old baby with large Congenital Hepatoblastoma was performed using Penrose rubber drain as a tourniquet around the liver parenchyma to reduce blood loss.

RESULTS:

Blood loss was minimal (<20CC) and all the three babies survived the procedure without complications.

CONCLUSION:

Rubber tourniquet technique is simple, safe and cost-effective for liver resections in neonates and infants with hepatic lesions and separation of conjoined twins with shared liver and it can easily be employed in resource constraint settings.

• Authors: Zafar Nazir
• Journal: Journal of pediatric surgery (J Pediatr Surg) Vol. 54 Issue 6 Pg. 1250-1252 (Jun 2019) ISSN: 1531-5037 [Electronic] United States
• PMID: 30409478 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2018 Elsevier Inc. All rights reserved.

Chemical References

• Rubber

Topics

• Hepatectomy (instrumentation, methods)
• Hepatoblastoma (surgery)
• Humans
• Infant
• Infant, Newborn
• Liver (abnormalities, surgery)
• Liver Neoplasms (surgery)
• Rubber (therapeutic use)
• Tourniquets
• Twins, Conjoined