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Novel Bedside Ligation for Staged Closure of Congenital Portosystemic Shunts: A Single-Center Experience in 20 Children

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Topic overview

This single-center study describes a portal venous pressure-guided surgical strategy for closing congenital portosystemic shunts in 20 pediatric patients, introducing a novel bedside ligation technique for staged closure. The approach tailors one-stage versus staged intervention based on intraoperative pressure measurements during temporary shunt occlusion.

Key takeaways

  • Portal venous pressure monitoring during temporary occlusion guides safe surgical decision-making for CPS closure.
  • Novel bedside ligation technique enables staged closure when initial PVP elevation contraindicates one-stage repair.
  • 20-patient series demonstrates feasibility of PVP-guided strategy in pediatric congenital portosystemic shunt management.

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How to cite: GlobalCastMD. Novel Bedside Ligation for Staged Closure of Congenital Portosystemic Shunts: A Single-Center Experience in 20 Children. GlobalCastMD Medical Library. 2026-01-30. https://library.globalcastmd.com/article/11443?via_space=staycurrentmd

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