Purpose: To analyze the use of this sponge in pediatric patients undergoing split-liver transplantation. Methods: Retrospective study, including 35 pediatric patients undergoing split-liver transplantation, divided into two groups according to the use of the sponge: 18 patients in Group A (no sponge) and 17 in Group B (with sponge). Results: The characteristics of recipients and donors were similar. We observed greater number of reoperation due to bleeding in the wound area in Group A (10 patients - 55.5%) than in Group B (3 patients - 17.6%); p = 0.035. The median volume of red blood cells transfused in Group A was significantly higher (73.4 ?± 102.38 mL/kg) than that in Group B (35.1 ?± 41.67 mL/kg); p = 0.048. Regarding bile leak there was no statistical difference. Conclusion: The use of the human fibrinogen and thrombin sponge, required lower volume of red blood cell transfusion and presented lower reoperation rates due to bleeding in the wound area.
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机译：目的：分析这种海绵在接受裂肝移植的儿科患者中的使用。方法：回顾性研究，包括35例行劈肝式肝移植的儿科患者，根据海绵的使用情况分为两组：A组18例（无海绵）和B组17例（使用海绵）。结果：受者和供者的特征相似。我们观察到，与B组（3例患者-17.6％）相比，A组（10例患者-55.5％）由于伤口区域出血而导致的再次手术次数更多。 p ＝ 0.035。 A组输注的红细胞中值明显高于B组（35.1±±41.67 mL / kg）（73.4±102.38 mL / kg）。 p ＝ 0.048。关于胆漏，无统计学差异。结论：使用人类纤维蛋白原和凝血酶海绵，需要减少红细胞输注量，并且由于伤口区域出血而降低了再手术率。
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