Risk Factors and Management of Venous Thromboembolic Diseases in Donor of Living Donor Liver Transplant
Bahaa El Din, M., Kamal, K., Mohamed, M., Salem, A. (2017). Risk Factors and Management of Venous Thromboembolic Diseases in Donor of Living Donor Liver Transplant. EKB Journal Management System, 69(5), 2516-2524. doi: 10.12816/0041704
Mohamed M. Bahaa El Din; Kamal M. Kamal; Mohamed I. Mohamed; Ahmed G. Salem. "Risk Factors and Management of Venous Thromboembolic Diseases in Donor of Living Donor Liver Transplant". EKB Journal Management System, 69, 5, 2017, 2516-2524. doi: 10.12816/0041704
Bahaa El Din, M., Kamal, K., Mohamed, M., Salem, A. (2017). 'Risk Factors and Management of Venous Thromboembolic Diseases in Donor of Living Donor Liver Transplant', EKB Journal Management System, 69(5), pp. 2516-2524. doi: 10.12816/0041704
Bahaa El Din, M., Kamal, K., Mohamed, M., Salem, A. Risk Factors and Management of Venous Thromboembolic Diseases in Donor of Living Donor Liver Transplant. EKB Journal Management System, 2017; 69(5): 2516-2524. doi: 10.12816/0041704

Risk Factors and Management of Venous Thromboembolic Diseases in Donor of Living Donor Liver Transplant

The Egyptian Journal of Hospital Medicine
Article 26, Volume 69, Issue 5, October 2017, Page 2516-2524  XML PDF (444.3 K)
Document Type: Original Article
DOI: 10.12816/0041704
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Authors
Mohamed M. Bahaa El Din1; Kamal M. Kamal1; Mohamed I. Mohamed2; Ahmed G. Salem email 1
1Department of General Surgery
2Vascular Surgery Department
Abstract
Background: liver transplantation surgically replaces a failing or diseased liver with one that is normal and healthy. At this time, transplantation is the only cure for liver insufficiency or liver failure because no device or machine reliably performs all of the functions of the liver. Aim of the Work:  this study aimed to highlight risk factors of the venous thromboembolism in donors of living donor liver transplant and its management.
 Patients and Methods: this study included 40 patients who underwent hepatectomy for living donor liver transplant. All patients were evaluated extensively, including history and physical examination and specialty consultations when indicated. All patients did haematological studies to detect the risk factors of thromboembolic disease. Results: in patients with manifestations of venous thromboembolism 2 donors have single risk factor for venous thromboembolism and 4 donors have double risk factors. Conclusion: presence of multiple risk factors for venous thromboembolism led to increase in its incidence, so during preoperative assessment of the donors, if they have multiple risk factors for thrombosis some precautions should be taken  to avoid venous thrombosis. Recommendations: preoperative precautions include heamatological consultations for the donors and prophylaxis dose of anticoagulant. Intra operative precautions included pneumatic calf pressure, elastic stocking. Finally postoperative precautions should be continued , these donors should take therapeutic doses of anticoagulants and follow up by lower limb venous duplex.
 
Keywords
venous thromboembolic disease; living donor liver transplant
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