New technique for graft procurement in abdominal wall transplantation

The most important factor of this technique for wall procurement lies in the need for proper abdominal closure when the abdominal pressure is elevated, such as in multi-organ or liver transplantations that require further reconstructions. Some key points are the house-shaped flap, meticulous dissection, and individualization of the epigastric and iliac vessels. This technique regards the abdominal wall as a functional organ that must be perfused simultaneously like other abdominal organs and stored with a short warm ischemia time, minimizing subsequent risk of thrombosis. Primary complications include infection, graft-versus-host disease and graft rejection.

Funding

No funding.