• Luuk Montoya posted an update 6 days, 17 hours ago

    5% group (32% vs. 14%, p?=?0.04). The rates of other complications did not differ between the two groups. Both groups had similar graft and patient survival rates at one?yr. Using large grafts for recipient size did not impair liver function and did not modify graft and patient outcomes at one?yr. However, a GWRW selleck chemical >2.5% appeared to be a determining factor for respiratory morbidity following LT. “”Liang T-B, Li J-J, Li D-L, Liang L, Bai X-L, Zheng S-S. Intraoperative blood salvage and leukocyte depletion during liver transplantation with bacterial contamination. Clin Transplant 2009 DOI: 10.1111/j.1399-0012.2009.01091.x ? 2009 John Wiley & Sons A/S. Abstract:? Background:? Bacterial contamination is considered to be a contraindication for intraoperative blood salvage (IBS) during OLT. The aims of this study were to evaluate the efficiency of the autotransfusion device with an additional leukocyte depletion filter (LDF) for eliminating bacterial contaminations, and its clinical outcomes in terms of post-operative infections during OLT. Methods:? Forty-five patients with end-stage liver disease and cirrhotic ascites were enrolled in this study. The blood from the surgical field was collected and processed by an autotransfusion device (Cell Saver 5) and a LDF for bacteriological analysis. Among them, 12 patients with chronic severe hepatitis B received autologous transfusion for analysis of the effect on post-operative infections. Results:? Spontaneous bacterial peritonitis (SBP) (p?<?0.05, OR?=?20.1) and a long duration of operation (p?<?0.01, OR?=?8.3) were found to be critical risk factors for contamination. Autotransfusion devices with an additional LDF significantly eliminated bacterial contaminants from shed blood (p?<?0.05). About 33% (4/12) of the patients who received autologous transfusion with salvaged and filtered erythrocytes got post-operative bacterial infection. Conclusions:? Autotransfusion devices with an additional LDF could significantly eliminate bacterial contaminants of shed blood during OLT. The new mode of IBS might be a good option in reducing post-operative infections, and deserves a large-scale clinical trial. “”The impact of parathyroidectomy on allograft function in kidney transplant patients is unclear. We conducted a retrospective, observational study of all kidney transplant recipients from 1988 to 2008 who underwent parathyroidectomy for uncontrolled hyperparathyroidism (n?=?32). Post-parathyroidectomy, changes in estimated glomerular filtration rate (eGFR) and graft loss were recorded. Cross-sectional associations at baseline between eGFR and serum calcium, phosphate, and parathyroid hormone (PTH), and associations between their changes within subjects during the first two?months post-parathyroidectomy were assessed. Post-parathyroidectomy, the mean eGFR declined from 51.19?mL/min/1.73?m2 at parathyroidectomy to 44.78?mL/min/1.73?m2 at two?months (p?<?0.0001).