The causes and nursing points of re-operation after orthotopic liver transplantation

VernacularTitle:原位肝移植术后再手术的原因分析及护理
Author: Yingying MA ; Hengfang RUAN ; Yu YANG ; Limin LIANG
Publication Type:Journal Article
Keywords: Liver transplantation; Re-operation; Nursing
From: Chinese Journal of Practical Nursing 2010;26(11):59-60
CountryChina
Language:Chinese
Abstract: Objective To study the causes and nursing points of re-operation after orthotopic liver transplantation (OLT). Methods The clinical data of 241 patients who underwent OLT in the past three years were analyzed, and the causes and nursing of re-operation were summarized. Results In the 241 patients,30 cases underwent re-operation. The incidence of re-operation was 12.4%. The causes included: intra-abdominal bleeding in 14 cases with the incidence of 46.7%, biliary complications in 8 cases with the incidence of 26.6%, 4 cases infection in different organs with the incidence of 13.3%, wound dehiscence in 2 cases with the incidence of 6.7% and recurrence of carcinoma in 2 cases with the incidence of 6.7%. 7 patients died after re-operation with the mortality rate of 13.3%. Conclusions The causes of re-operation after OLT were various, intra-abdominal bleeding and biliary complications were the main factors. Knowing the causes and taking rational nursing helped to raise the survival rate and quality of life after OLT.