Rubber tourniquet technique: A simple, safe, and cost-effective method of hepatic resection in neonates and infants

Space: StayCurrentMD Author: Zafar Nazir Published:

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Zafar Nazir

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Abstract

Background

Despite the improvements in patient care, understanding of surgical anatomy of liver and surgical techniques, liver resection is a high-risk procedure specifically in infants and neonates; whose blood volume is limited (80 ml/kg). This report shares the experience of hepatic resection with "Rubber tourniquet technique" in patients less than 6-months of age.

Methods

Hepatic resection in a 4-month-old pair of Conjoined twins with shared liver and a 3-day old baby with large Congenital Hepatoblastoma was performed using Penrose rubber drain as a tourniquet around the liver parenchyma to reduce blood loss.

Results

Blood loss was minimal (

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