Impact of abdominal drainage systems on postoperative complication rates following liver transplantation
Background Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. Methods All consecutive full-size orthotopi...
Ausführliche Beschreibung
Autor*in: |
Weiss, Sascha [verfasserIn] Messner, Franka [verfasserIn] Huth, Marcus [verfasserIn] Weissenbacher, Annemarie [verfasserIn] Denecke, Christian [verfasserIn] Aigner, Felix [verfasserIn] Brandl, Andreas [verfasserIn] Dziodzio, Tomasz [verfasserIn] Sucher, Robert [verfasserIn] Boesmueller, Claudia [verfasserIn] Oellinger, Robert [verfasserIn] Schneeberger, Stefan [verfasserIn] Oefner, Dietmar [verfasserIn] Pratschke, Johann [verfasserIn] Biebl, Matthias [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2015 |
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Übergeordnetes Werk: |
Enthalten in: European journal of medical research - London : BioMed Central, 2000, 20(2015), 1 vom: 21. Aug. |
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Übergeordnetes Werk: |
volume:20 ; year:2015 ; number:1 ; day:21 ; month:08 |
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DOI / URN: |
10.1186/s40001-015-0163-z |
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Katalog-ID: |
SPR032596286 |
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520 | |a Background Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. Methods All consecutive full-size orthotopic liver transplantations (LTX) performed over a 7-year period were included in this retrospective analysis. Abdominal drain groups were divided into open-circuit drains and closed-circuit drains. Data are reported as total number (%) or median (range); for all comparisons a p value <0.05 was considered statistically significant. Results A total of 256 LTX [age 56.89 (0.30–75.21) years; MELD 14.5 (7–40)] was included; 56 (21.8 %) patients received an open-circuit Easy Flow Drain (Group 1) and 200 (78.2 %) a closed-circuit Robinson Drainage System (Group 2). For Groups 1 and 2, overall infection rates were 78.6 and 56 % (p = 0.001), abdominal infection rates 50.82 and 21.92 % (p = 0.001), yeast infection rates 37 and 23 % (p = 0.02), abdominal bleeding rates 26.78 and 17 % (p = 0.07), biliary complication rates 14.28 and 13.5 % (p = 0.51), respectively. Conclusions In this retrospective series, open-circuit drains were associated with more abdominal complications, mainly due to intraabdominal infections, than were closed-circuit drains. | ||
650 | 4 | |a Liver transplantation |7 (dpeaa)DE-He213 | |
650 | 4 | |a Drainage systems |7 (dpeaa)DE-He213 | |
650 | 4 | |a Postoperative complications |7 (dpeaa)DE-He213 | |
650 | 4 | |a Open-circuit drainage |7 (dpeaa)DE-He213 | |
650 | 4 | |a Closed-circuit drainage |7 (dpeaa)DE-He213 | |
700 | 1 | |a Messner, Franka |e verfasserin |4 aut | |
700 | 1 | |a Huth, Marcus |e verfasserin |4 aut | |
700 | 1 | |a Weissenbacher, Annemarie |e verfasserin |4 aut | |
700 | 1 | |a Denecke, Christian |e verfasserin |4 aut | |
700 | 1 | |a Aigner, Felix |e verfasserin |4 aut | |
700 | 1 | |a Brandl, Andreas |e verfasserin |4 aut | |
700 | 1 | |a Dziodzio, Tomasz |e verfasserin |4 aut | |
700 | 1 | |a Sucher, Robert |e verfasserin |4 aut | |
700 | 1 | |a Boesmueller, Claudia |e verfasserin |4 aut | |
700 | 1 | |a Oellinger, Robert |e verfasserin |4 aut | |
700 | 1 | |a Schneeberger, Stefan |e verfasserin |4 aut | |
700 | 1 | |a Oefner, Dietmar |e verfasserin |4 aut | |
700 | 1 | |a Pratschke, Johann |e verfasserin |4 aut | |
700 | 1 | |a Biebl, Matthias |e verfasserin |4 aut | |
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10.1186/s40001-015-0163-z doi (DE-627)SPR032596286 (SPR)s40001-015-0163-z-e DE-627 ger DE-627 rakwb eng 610 ASE Weiss, Sascha verfasserin aut Impact of abdominal drainage systems on postoperative complication rates following liver transplantation 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. Methods All consecutive full-size orthotopic liver transplantations (LTX) performed over a 7-year period were included in this retrospective analysis. Abdominal drain groups were divided into open-circuit drains and closed-circuit drains. Data are reported as total number (%) or median (range); for all comparisons a p value <0.05 was considered statistically significant. Results A total of 256 LTX [age 56.89 (0.30–75.21) years; MELD 14.5 (7–40)] was included; 56 (21.8 %) patients received an open-circuit Easy Flow Drain (Group 1) and 200 (78.2 %) a closed-circuit Robinson Drainage System (Group 2). For Groups 1 and 2, overall infection rates were 78.6 and 56 % (p = 0.001), abdominal infection rates 50.82 and 21.92 % (p = 0.001), yeast infection rates 37 and 23 % (p = 0.02), abdominal bleeding rates 26.78 and 17 % (p = 0.07), biliary complication rates 14.28 and 13.5 % (p = 0.51), respectively. Conclusions In this retrospective series, open-circuit drains were associated with more abdominal complications, mainly due to intraabdominal infections, than were closed-circuit drains. Liver transplantation (dpeaa)DE-He213 Drainage systems (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Open-circuit drainage (dpeaa)DE-He213 Closed-circuit drainage (dpeaa)DE-He213 Messner, Franka verfasserin aut Huth, Marcus verfasserin aut Weissenbacher, Annemarie verfasserin aut Denecke, Christian verfasserin aut Aigner, Felix verfasserin aut Brandl, Andreas verfasserin aut Dziodzio, Tomasz verfasserin aut Sucher, Robert verfasserin aut Boesmueller, Claudia verfasserin aut Oellinger, Robert verfasserin aut Schneeberger, Stefan verfasserin aut Oefner, Dietmar verfasserin aut Pratschke, Johann verfasserin aut Biebl, Matthias verfasserin aut Enthalten in European journal of medical research London : BioMed Central, 2000 20(2015), 1 vom: 21. Aug. (DE-627)375977775 (DE-600)2129989-4 2047-783X nnns volume:20 year:2015 number:1 day:21 month:08 https://dx.doi.org/10.1186/s40001-015-0163-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2015 1 21 08 |
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10.1186/s40001-015-0163-z doi (DE-627)SPR032596286 (SPR)s40001-015-0163-z-e DE-627 ger DE-627 rakwb eng 610 ASE Weiss, Sascha verfasserin aut Impact of abdominal drainage systems on postoperative complication rates following liver transplantation 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. Methods All consecutive full-size orthotopic liver transplantations (LTX) performed over a 7-year period were included in this retrospective analysis. Abdominal drain groups were divided into open-circuit drains and closed-circuit drains. Data are reported as total number (%) or median (range); for all comparisons a p value <0.05 was considered statistically significant. Results A total of 256 LTX [age 56.89 (0.30–75.21) years; MELD 14.5 (7–40)] was included; 56 (21.8 %) patients received an open-circuit Easy Flow Drain (Group 1) and 200 (78.2 %) a closed-circuit Robinson Drainage System (Group 2). For Groups 1 and 2, overall infection rates were 78.6 and 56 % (p = 0.001), abdominal infection rates 50.82 and 21.92 % (p = 0.001), yeast infection rates 37 and 23 % (p = 0.02), abdominal bleeding rates 26.78 and 17 % (p = 0.07), biliary complication rates 14.28 and 13.5 % (p = 0.51), respectively. Conclusions In this retrospective series, open-circuit drains were associated with more abdominal complications, mainly due to intraabdominal infections, than were closed-circuit drains. Liver transplantation (dpeaa)DE-He213 Drainage systems (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Open-circuit drainage (dpeaa)DE-He213 Closed-circuit drainage (dpeaa)DE-He213 Messner, Franka verfasserin aut Huth, Marcus verfasserin aut Weissenbacher, Annemarie verfasserin aut Denecke, Christian verfasserin aut Aigner, Felix verfasserin aut Brandl, Andreas verfasserin aut Dziodzio, Tomasz verfasserin aut Sucher, Robert verfasserin aut Boesmueller, Claudia verfasserin aut Oellinger, Robert verfasserin aut Schneeberger, Stefan verfasserin aut Oefner, Dietmar verfasserin aut Pratschke, Johann verfasserin aut Biebl, Matthias verfasserin aut Enthalten in European journal of medical research London : BioMed Central, 2000 20(2015), 1 vom: 21. Aug. (DE-627)375977775 (DE-600)2129989-4 2047-783X nnns volume:20 year:2015 number:1 day:21 month:08 https://dx.doi.org/10.1186/s40001-015-0163-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2015 1 21 08 |
allfields_unstemmed |
10.1186/s40001-015-0163-z doi (DE-627)SPR032596286 (SPR)s40001-015-0163-z-e DE-627 ger DE-627 rakwb eng 610 ASE Weiss, Sascha verfasserin aut Impact of abdominal drainage systems on postoperative complication rates following liver transplantation 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. Methods All consecutive full-size orthotopic liver transplantations (LTX) performed over a 7-year period were included in this retrospective analysis. Abdominal drain groups were divided into open-circuit drains and closed-circuit drains. Data are reported as total number (%) or median (range); for all comparisons a p value <0.05 was considered statistically significant. Results A total of 256 LTX [age 56.89 (0.30–75.21) years; MELD 14.5 (7–40)] was included; 56 (21.8 %) patients received an open-circuit Easy Flow Drain (Group 1) and 200 (78.2 %) a closed-circuit Robinson Drainage System (Group 2). For Groups 1 and 2, overall infection rates were 78.6 and 56 % (p = 0.001), abdominal infection rates 50.82 and 21.92 % (p = 0.001), yeast infection rates 37 and 23 % (p = 0.02), abdominal bleeding rates 26.78 and 17 % (p = 0.07), biliary complication rates 14.28 and 13.5 % (p = 0.51), respectively. Conclusions In this retrospective series, open-circuit drains were associated with more abdominal complications, mainly due to intraabdominal infections, than were closed-circuit drains. Liver transplantation (dpeaa)DE-He213 Drainage systems (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Open-circuit drainage (dpeaa)DE-He213 Closed-circuit drainage (dpeaa)DE-He213 Messner, Franka verfasserin aut Huth, Marcus verfasserin aut Weissenbacher, Annemarie verfasserin aut Denecke, Christian verfasserin aut Aigner, Felix verfasserin aut Brandl, Andreas verfasserin aut Dziodzio, Tomasz verfasserin aut Sucher, Robert verfasserin aut Boesmueller, Claudia verfasserin aut Oellinger, Robert verfasserin aut Schneeberger, Stefan verfasserin aut Oefner, Dietmar verfasserin aut Pratschke, Johann verfasserin aut Biebl, Matthias verfasserin aut Enthalten in European journal of medical research London : BioMed Central, 2000 20(2015), 1 vom: 21. Aug. (DE-627)375977775 (DE-600)2129989-4 2047-783X nnns volume:20 year:2015 number:1 day:21 month:08 https://dx.doi.org/10.1186/s40001-015-0163-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2015 1 21 08 |
allfieldsGer |
10.1186/s40001-015-0163-z doi (DE-627)SPR032596286 (SPR)s40001-015-0163-z-e DE-627 ger DE-627 rakwb eng 610 ASE Weiss, Sascha verfasserin aut Impact of abdominal drainage systems on postoperative complication rates following liver transplantation 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. Methods All consecutive full-size orthotopic liver transplantations (LTX) performed over a 7-year period were included in this retrospective analysis. Abdominal drain groups were divided into open-circuit drains and closed-circuit drains. Data are reported as total number (%) or median (range); for all comparisons a p value <0.05 was considered statistically significant. Results A total of 256 LTX [age 56.89 (0.30–75.21) years; MELD 14.5 (7–40)] was included; 56 (21.8 %) patients received an open-circuit Easy Flow Drain (Group 1) and 200 (78.2 %) a closed-circuit Robinson Drainage System (Group 2). For Groups 1 and 2, overall infection rates were 78.6 and 56 % (p = 0.001), abdominal infection rates 50.82 and 21.92 % (p = 0.001), yeast infection rates 37 and 23 % (p = 0.02), abdominal bleeding rates 26.78 and 17 % (p = 0.07), biliary complication rates 14.28 and 13.5 % (p = 0.51), respectively. Conclusions In this retrospective series, open-circuit drains were associated with more abdominal complications, mainly due to intraabdominal infections, than were closed-circuit drains. Liver transplantation (dpeaa)DE-He213 Drainage systems (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Open-circuit drainage (dpeaa)DE-He213 Closed-circuit drainage (dpeaa)DE-He213 Messner, Franka verfasserin aut Huth, Marcus verfasserin aut Weissenbacher, Annemarie verfasserin aut Denecke, Christian verfasserin aut Aigner, Felix verfasserin aut Brandl, Andreas verfasserin aut Dziodzio, Tomasz verfasserin aut Sucher, Robert verfasserin aut Boesmueller, Claudia verfasserin aut Oellinger, Robert verfasserin aut Schneeberger, Stefan verfasserin aut Oefner, Dietmar verfasserin aut Pratschke, Johann verfasserin aut Biebl, Matthias verfasserin aut Enthalten in European journal of medical research London : BioMed Central, 2000 20(2015), 1 vom: 21. Aug. (DE-627)375977775 (DE-600)2129989-4 2047-783X nnns volume:20 year:2015 number:1 day:21 month:08 https://dx.doi.org/10.1186/s40001-015-0163-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2015 1 21 08 |
allfieldsSound |
10.1186/s40001-015-0163-z doi (DE-627)SPR032596286 (SPR)s40001-015-0163-z-e DE-627 ger DE-627 rakwb eng 610 ASE Weiss, Sascha verfasserin aut Impact of abdominal drainage systems on postoperative complication rates following liver transplantation 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. Methods All consecutive full-size orthotopic liver transplantations (LTX) performed over a 7-year period were included in this retrospective analysis. Abdominal drain groups were divided into open-circuit drains and closed-circuit drains. Data are reported as total number (%) or median (range); for all comparisons a p value <0.05 was considered statistically significant. Results A total of 256 LTX [age 56.89 (0.30–75.21) years; MELD 14.5 (7–40)] was included; 56 (21.8 %) patients received an open-circuit Easy Flow Drain (Group 1) and 200 (78.2 %) a closed-circuit Robinson Drainage System (Group 2). For Groups 1 and 2, overall infection rates were 78.6 and 56 % (p = 0.001), abdominal infection rates 50.82 and 21.92 % (p = 0.001), yeast infection rates 37 and 23 % (p = 0.02), abdominal bleeding rates 26.78 and 17 % (p = 0.07), biliary complication rates 14.28 and 13.5 % (p = 0.51), respectively. Conclusions In this retrospective series, open-circuit drains were associated with more abdominal complications, mainly due to intraabdominal infections, than were closed-circuit drains. Liver transplantation (dpeaa)DE-He213 Drainage systems (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Open-circuit drainage (dpeaa)DE-He213 Closed-circuit drainage (dpeaa)DE-He213 Messner, Franka verfasserin aut Huth, Marcus verfasserin aut Weissenbacher, Annemarie verfasserin aut Denecke, Christian verfasserin aut Aigner, Felix verfasserin aut Brandl, Andreas verfasserin aut Dziodzio, Tomasz verfasserin aut Sucher, Robert verfasserin aut Boesmueller, Claudia verfasserin aut Oellinger, Robert verfasserin aut Schneeberger, Stefan verfasserin aut Oefner, Dietmar verfasserin aut Pratschke, Johann verfasserin aut Biebl, Matthias verfasserin aut Enthalten in European journal of medical research London : BioMed Central, 2000 20(2015), 1 vom: 21. Aug. (DE-627)375977775 (DE-600)2129989-4 2047-783X nnns volume:20 year:2015 number:1 day:21 month:08 https://dx.doi.org/10.1186/s40001-015-0163-z kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2015 1 21 08 |
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Weiss, Sascha @@aut@@ Messner, Franka @@aut@@ Huth, Marcus @@aut@@ Weissenbacher, Annemarie @@aut@@ Denecke, Christian @@aut@@ Aigner, Felix @@aut@@ Brandl, Andreas @@aut@@ Dziodzio, Tomasz @@aut@@ Sucher, Robert @@aut@@ Boesmueller, Claudia @@aut@@ Oellinger, Robert @@aut@@ Schneeberger, Stefan @@aut@@ Oefner, Dietmar @@aut@@ Pratschke, Johann @@aut@@ Biebl, Matthias @@aut@@ |
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610 ASE Impact of abdominal drainage systems on postoperative complication rates following liver transplantation Liver transplantation (dpeaa)DE-He213 Drainage systems (dpeaa)DE-He213 Postoperative complications (dpeaa)DE-He213 Open-circuit drainage (dpeaa)DE-He213 Closed-circuit drainage (dpeaa)DE-He213 |
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Weiss, Sascha Messner, Franka Huth, Marcus Weissenbacher, Annemarie Denecke, Christian Aigner, Felix Brandl, Andreas Dziodzio, Tomasz Sucher, Robert Boesmueller, Claudia Oellinger, Robert Schneeberger, Stefan Oefner, Dietmar Pratschke, Johann Biebl, Matthias |
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impact of abdominal drainage systems on postoperative complication rates following liver transplantation |
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Impact of abdominal drainage systems on postoperative complication rates following liver transplantation |
abstract |
Background Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. Methods All consecutive full-size orthotopic liver transplantations (LTX) performed over a 7-year period were included in this retrospective analysis. Abdominal drain groups were divided into open-circuit drains and closed-circuit drains. Data are reported as total number (%) or median (range); for all comparisons a p value <0.05 was considered statistically significant. Results A total of 256 LTX [age 56.89 (0.30–75.21) years; MELD 14.5 (7–40)] was included; 56 (21.8 %) patients received an open-circuit Easy Flow Drain (Group 1) and 200 (78.2 %) a closed-circuit Robinson Drainage System (Group 2). For Groups 1 and 2, overall infection rates were 78.6 and 56 % (p = 0.001), abdominal infection rates 50.82 and 21.92 % (p = 0.001), yeast infection rates 37 and 23 % (p = 0.02), abdominal bleeding rates 26.78 and 17 % (p = 0.07), biliary complication rates 14.28 and 13.5 % (p = 0.51), respectively. Conclusions In this retrospective series, open-circuit drains were associated with more abdominal complications, mainly due to intraabdominal infections, than were closed-circuit drains. |
abstractGer |
Background Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. Methods All consecutive full-size orthotopic liver transplantations (LTX) performed over a 7-year period were included in this retrospective analysis. Abdominal drain groups were divided into open-circuit drains and closed-circuit drains. Data are reported as total number (%) or median (range); for all comparisons a p value <0.05 was considered statistically significant. Results A total of 256 LTX [age 56.89 (0.30–75.21) years; MELD 14.5 (7–40)] was included; 56 (21.8 %) patients received an open-circuit Easy Flow Drain (Group 1) and 200 (78.2 %) a closed-circuit Robinson Drainage System (Group 2). For Groups 1 and 2, overall infection rates were 78.6 and 56 % (p = 0.001), abdominal infection rates 50.82 and 21.92 % (p = 0.001), yeast infection rates 37 and 23 % (p = 0.02), abdominal bleeding rates 26.78 and 17 % (p = 0.07), biliary complication rates 14.28 and 13.5 % (p = 0.51), respectively. Conclusions In this retrospective series, open-circuit drains were associated with more abdominal complications, mainly due to intraabdominal infections, than were closed-circuit drains. |
abstract_unstemmed |
Background Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. Methods All consecutive full-size orthotopic liver transplantations (LTX) performed over a 7-year period were included in this retrospective analysis. Abdominal drain groups were divided into open-circuit drains and closed-circuit drains. Data are reported as total number (%) or median (range); for all comparisons a p value <0.05 was considered statistically significant. Results A total of 256 LTX [age 56.89 (0.30–75.21) years; MELD 14.5 (7–40)] was included; 56 (21.8 %) patients received an open-circuit Easy Flow Drain (Group 1) and 200 (78.2 %) a closed-circuit Robinson Drainage System (Group 2). For Groups 1 and 2, overall infection rates were 78.6 and 56 % (p = 0.001), abdominal infection rates 50.82 and 21.92 % (p = 0.001), yeast infection rates 37 and 23 % (p = 0.02), abdominal bleeding rates 26.78 and 17 % (p = 0.07), biliary complication rates 14.28 and 13.5 % (p = 0.51), respectively. Conclusions In this retrospective series, open-circuit drains were associated with more abdominal complications, mainly due to intraabdominal infections, than were closed-circuit drains. |
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container_issue |
1 |
title_short |
Impact of abdominal drainage systems on postoperative complication rates following liver transplantation |
url |
https://dx.doi.org/10.1186/s40001-015-0163-z |
remote_bool |
true |
author2 |
Messner, Franka Huth, Marcus Weissenbacher, Annemarie Denecke, Christian Aigner, Felix Brandl, Andreas Dziodzio, Tomasz Sucher, Robert Boesmueller, Claudia Oellinger, Robert Schneeberger, Stefan Oefner, Dietmar Pratschke, Johann Biebl, Matthias |
author2Str |
Messner, Franka Huth, Marcus Weissenbacher, Annemarie Denecke, Christian Aigner, Felix Brandl, Andreas Dziodzio, Tomasz Sucher, Robert Boesmueller, Claudia Oellinger, Robert Schneeberger, Stefan Oefner, Dietmar Pratschke, Johann Biebl, Matthias |
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375977775 |
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c |
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true |
hochschulschrift_bool |
false |
doi_str |
10.1186/s40001-015-0163-z |
up_date |
2024-07-03T13:44:27.070Z |
_version_ |
1803565680110338048 |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR032596286</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519194441.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201007s2015 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s40001-015-0163-z</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR032596286</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s40001-015-0163-z-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">ASE</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Weiss, Sascha</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Impact of abdominal drainage systems on postoperative complication rates following liver transplantation</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2015</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Depending on the extent of surgery, coagulation status and the number of anastomoses, drains are routinely used during liver transplantation. The aim of this study was to compare different drain types with regard to abdominal complication rates. Methods All consecutive full-size orthotopic liver transplantations (LTX) performed over a 7-year period were included in this retrospective analysis. Abdominal drain groups were divided into open-circuit drains and closed-circuit drains. Data are reported as total number (%) or median (range); for all comparisons a p value <0.05 was considered statistically significant. Results A total of 256 LTX [age 56.89 (0.30–75.21) years; MELD 14.5 (7–40)] was included; 56 (21.8 %) patients received an open-circuit Easy Flow Drain (Group 1) and 200 (78.2 %) a closed-circuit Robinson Drainage System (Group 2). For Groups 1 and 2, overall infection rates were 78.6 and 56 % (p = 0.001), abdominal infection rates 50.82 and 21.92 % (p = 0.001), yeast infection rates 37 and 23 % (p = 0.02), abdominal bleeding rates 26.78 and 17 % (p = 0.07), biliary complication rates 14.28 and 13.5 % (p = 0.51), respectively. Conclusions In this retrospective series, open-circuit drains were associated with more abdominal complications, mainly due to intraabdominal infections, than were closed-circuit drains.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Liver transplantation</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Drainage systems</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Postoperative complications</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Open-circuit drainage</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Closed-circuit drainage</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Messner, Franka</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Huth, Marcus</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Weissenbacher, Annemarie</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Denecke, Christian</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Aigner, Felix</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Brandl, Andreas</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Dziodzio, Tomasz</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Sucher, Robert</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Boesmueller, Claudia</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Oellinger, Robert</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Schneeberger, Stefan</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Oefner, Dietmar</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Pratschke, Johann</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Biebl, Matthias</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">European journal of medical research</subfield><subfield code="d">London : BioMed Central, 2000</subfield><subfield code="g">20(2015), 1 vom: 21. 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