Safe and Early Primary Closure of Open Abdomen in Pediatric Liver Transplantation Using a Doppler-Guided Tension Relief Strategy and Enhanced Wound Environment.

Pediatric liver transplantation (liver transplantation) with large-for-size (LFS) grafts frequently necessitates open abdomen (open abdomen) management due to donor-recipient graft size mismatch, increasing the risk of delayed closure and frequently requires the use of permanent prosthetic materials, together compounding the risk of postoperative infection.

The median PICU and hospital stays were 17 and 35 days, respectively.

No cases of graft failure, retransplantation, or mortality occurred.

Its combined approach of mechanical tension control and enhanced local wound conditions reduces the need for graft size reduction, minimizes infection risk, and may broaden the donor pool.