Using Microporous Polysaccharide Hemispheres for Bleeding From Porta Hepatis During Kasai Procedure: A Case Report

Abstract

The Kasai procedure has been performed considerably for a long time, but the way to stop bleeding from the porta hepatis is different among children’s hospitals in Japan. Using hemostatic agents is one of the options to stop bleeding; thus, we used microporous polysaccharide hemispheres (MPHs) for a 1-month-old girl with biliary atresia. Although we used only MPHs for the bleeding from the porta hepatis, we did not need any other ways to stop the bleeding nor blood transfusion. Her postoperation jaundice was improved smoothly. We consider that using MPHs for the bleeding from the porta hepatis is one of the ways to stop bleeding.