Publication:
White gauze test: a novel technique in preventing post-hepatectomy bile leak

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dc.citedby2
dc.contributor.affiliationsFaculty of Medicine and Health Sciences
dc.contributor.affiliationsUniversiti Sains Islam Malaysia (USIM)
dc.contributor.authorYugasaravanan K.en_US
dc.contributor.authorAffirul C.A.en_US
dc.contributor.authorZamri Z.en_US
dc.contributor.authorAzlanudin A.en_US
dc.contributor.authorBong J.J.en_US
dc.date.accessioned2024-05-28T08:36:29Z
dc.date.available2024-05-28T08:36:29Z
dc.date.issued2015
dc.description.abstractBACKGROUND: Post-hepatectomy bile leak may lead to undesired morbidity. Multiple methods have been employed to identify this leak but can be inconclusive and taxing. This novel white gauze test is a simple and reliable method.MATERIALS AND METHODS: This is a prospective study performed from January 2010 until March 2011. All open hepatic resection were included. Dry white gauze is compressed onto the transected surface and observed for bile staining. The leaking duct is repaired immediately upon detection. The process is repeated until negative. Drain was removed on postoperative day-5. Post-operative bile leak is defined as: 1. Bilirubin concentration of the drain fluid is 3 times or higher than serum; 2. Presence of intra-abdominal bile collection on imaging and upon drainage; 3. Bile leak demonstrated on postoperative cholangiography.RESULTS: 42 patients were recruited. Seven (16.7%) patients were cirrhotic with Child-Pugh A. White gauze test were positive for intra-operative bile leaks in 29 patients (70%), which were primarily repaired. As a result, there was no postoperative bile leak in this series. One mortality was detected in this series due to postoperative pancreatic fistula and multi organ failure.CONCLUSIONS: The White Gauze Test is a useful method for the prevention of bile leakage after hepatic resection. It is safe, quick and cheap.en_US
dc.description.natureFinalen_US
dc.identifier.doi10.7417/T.2015.1828
dc.identifier.epagee104
dc.identifier.issn19726007
dc.identifier.issue2
dc.identifier.pmid25945439
dc.identifier.scopus2-s2.0-85016924679
dc.identifier.spagee102
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85016924679&doi=10.7417%2fT.2015.1828&partnerID=40&md5=61c2b565cbdf85f6283466520690fa33
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/9157
dc.identifier.volume166
dc.languageEnglish
dc.language.isoen_USen_US
dc.relation.ispartofLa Clinica terapeutica
dc.sourceScopus
dc.subjectBile leaken_US
dc.subjectComplicationsen_US
dc.subjectHepatectomyen_US
dc.subjectLiver resectionen_US
dc.subjectPost-operativeen_US
dc.titleWhite gauze test: a novel technique in preventing post-hepatectomy bile leaken_US
dc.title.alternativeClin Teren_US
dc.typeArticleen_US
dspace.entity.typePublication

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