Beta
12000

Risk Factors and Management of Venous Thromboembolic Diseases in Donor of Living Donor Liver Transplant

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

-

Abstract

Background: liver transplantation surgically replaces a failing or diseased liver with one that is normal and healthy. At this time, transplantation is the only cure for liver insufficiency or liver failure because no device or machine reliably performs all of the functions of the liver. Aim of the Work:  this study aimed to highlight risk factors of the venous thromboembolism in donors of living donor liver transplant and its management.  Patients and Methods: this study included 40 patients who underwent hepatectomy for living donor liver transplant. All patients were evaluated extensively, including history and physical examination and specialty consultations when indicated. All patients did haematological studies to detect the risk factors of thromboembolic disease. Results: in patients with manifestations of venous thromboembolism 2 donors have single risk factor for venous thromboembolism and 4 donors have double risk factors. Conclusion: presence of multiple risk factors for venous thromboembolism led to increase in its incidence, so during preoperative assessment of the donors, if they have multiple risk factors for thrombosis some precautions should be taken  to avoid venous thrombosis. Recommendations: preoperative precautions include heamatological consultations for the donors and prophylaxis dose of anticoagulant. Intra operative precautions included pneumatic calf pressure, elastic stocking. Finally postoperative precautions should be continued , these donors should take therapeutic doses of anticoagulants and follow up by lower limb venous duplex.  

DOI

10.12816/0041704

Keywords

venous thromboembolic disease, living donor liver transplant

Authors

First Name

Mohamed M.

Last Name

Bahaa El Din

MiddleName

-

Affiliation

Department of General Surgery

Email

-

City

-

Orcid

-

First Name

Kamal M.

Last Name

Kamal

MiddleName

-

Affiliation

Department of General Surgery

Email

-

City

-

Orcid

-

First Name

Mohamed I.

Last Name

Mohamed

MiddleName

-

Affiliation

Vascular Surgery Department

Email

-

City

-

Orcid

-

First Name

Ahmed G.

Last Name

Salem

MiddleName

-

Affiliation

Department of General Surgery

Email

a_g147@hotmail.com

City

-

Orcid

-

Volume

69

Article Issue

5

Related Issue

2195

Issue Date

2017-10-01

Receive Date

2018-08-30

Publish Date

2017-10-01

Page Start

2,516

Page End

2,524

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_12000.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=12000

Order

26

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Risk Factors and Management of Venous Thromboembolic Diseases in Donor of Living Donor Liver Transplant

Details

Type

Article

Created At

22 Jan 2023