AI Article Synopsis
- Multi-visceral transplantation (MvTx) involves transplanting multiple abdominal organs, requiring efficient teamwork among medical professionals.
- The study presents five cases of MvTx for patients with short bowel syndrome, highlighting demographics, causes, and surgical details, such as an average operation time of 360 minutes and significant blood transfusion needs.
- Successful outcomes depend on preoperative preparation, careful anesthesia management during surgery, and effective infection prevention post-surgery.
Article Abstract
Background: Multi-visceral transplantation (MvTx) usually refers to the transplantation of more than three intra-abdominal organs. A successful MvTx requires strong multidisciplinary teamwork of transplant surgeons, anesthesiologists, and intensivists.
Case Presentation: We present five cases of MvTx with a history of short bowel syndrome admitted to the Abu-Ali Sina Hospital, Shiraz, Iran from May 2019 to January 2020 and describe anesthetic considerations in MvTx. Subjects were identified (4F/1M) with a mean age of 43 years old (range 35-51). The most frequent cause of intestinal failure was portal vein thrombosis, followed by bowel gangrene and short bowel syndrome. The mean ±SD duration of the operation was 360±60 min. The bleeding volume was approximately 2600±1474 cc, and 4±1 bags of packed red blood cells were transfused. Sepsis was the main cause of death in our series.
Conclusion: Careful preoperative planning, vigilant intraoperative anesthetic management, and prevention of postoperative infection are imperative to achieve the best outcomes.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460526 | PMC |
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