Publications by authors named "M Czuprynska"

Article Synopsis
  • Exsanguination is a significant yet often overlooked factor leading to treatment failures in trauma and surgical patients, particularly those without prior blood clotting disorders.
  • The study aimed to evaluate the effectiveness of various interdisciplinary treatment strategies based on expert opinions regarding massive bleeding.
  • Key findings highlight that severe blood loss, excessive fluid therapy, and inadequate blood product administration increase the risk of post-hemorrhagic coagulopathy, while treatments like antifibrinolytic drugs and specific coagulation factor concentrates are recommended for effective management.
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Background: Fulminant liver failure (FLF) is a severe clinical condition usually accompanied by a coagulopathy, which is one of the key selection criteria for liver transplantation. Prolongation of prothrombin time can vary between etiologies of FHF, being one of the worst in fulminant presentation of Wilson's disease. Although INR value is not predictive for hemorrhage, it is commonly accepted that INR >1.

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Background: Vascular complications remain a significant cause of morbidity, graft loss, and mortality following orthotopic liver transplantation (OLT). These problems predominantly include hepatic artery and portal vein thrombosis or stenosis. Venous outflow obstruction may be specifically related to the technique of piggyback OLT.

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Biliary complications (BC) following orthotopic liver transplantation (OLT) are related to various factors including surgical technique and use of biliary drains for a duct-to-duct (DD) anastomosis. Herein we have reported the influence of changes in surgical technique on BC following OLT in our center. From February 2002 to February 2007, we performed 101 whole-organ OLT with a DD anastomosis in 99 adults, of whom we analyzed 84 subjects.

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