March 1971

Exchange Transfusion for Fulminant Hepatic Failure Following Hepatic Resection

Author Affiliations

Boston; Cambridge, Mass; Boston
From the departments of medicine and surgery, Harvard Medical School; Harvard Surgical Unit, Thorndike Memorial Laboratory and Harvard Medical Unit, Boston City Hospital (Drs. Barlyn, Trey, and McDermott); and the departments of medicine and surgery (Dr. Fagan), Cambridge (Mass) Hospital.

Arch Surg. 1971;102(3):224-226. doi:10.1001/archsurg.1971.01350030062019

A patient with extensive trauma to liver and shock was treated by hepatic lobectomy rather than suture and packing. Hepatic coma was noted on the fifth postoperative day and exchange blood transfusions were performed on the seventh and eighth days. The patient became conscious with each exchange. The patient subsequently recovered. Repeated exchange blood transfusions may be useful in sustaining the patient following extensive hepatic resection until regeneration can occur.