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 (< 20CC) and all the three babies survived the procedure without complications.
Conclusion: Rubber tourniquet technique is simple, safe and cost-effective for liver resections in neonates and infants with hepatic lesions and separation of conjoined twins with shared liver and it can easily be employed in resource constraint settings.
Publication ( Name of Journal)
Journal of Pediatric Surgery
(2018). Rubber tourniquet technique: A simple, safe, and cost-effective methodof hepatic resection in neonates and infants. Journal of Pediatric Surgery, 53(10), 1883-1886.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_surg_paediatr/40