Rubber tourniquet technique: A simple, safe, and cost-effective method of hepatic resection in neonates and infants
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In brief
In brief
This report describes a rubber tourniquet technique using Penrose drain for hepatic resection in infants under 6 months, applied in two cases: conjoined twins with shared liver and a neonate with hepatoblastoma. The method achieved minimal blood loss in patients with limited blood volume (80 ml/kg).
Written by the GCMD Library team from the article.
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 (