Circumferential Fence With the Use of Polyethylene Terephthalate (Dacron) Vascular Graft for All-in-One Hepatic Venous Reconstruction in Right-Lobe Living-Donor Liver Transplantation.

Integration of hepatic vein tributaries with a diameter ≥ 5 mm into the drainage system in right-lobe living-donor liver transplantation (LDLT) is of vital importance for graft function. Recently, the most commonly emphasized hepatic venous reconstruction model is the all-in-one reconstruction model. In the final stage of this model that aims to form a common large opening, allogeneic vascular grafts are almost always used to construct a circumferential fence. To date, no other study has reported the use of polyethylene terephthalate (Dacron) vascular graft as a circumferential fence in LDLT. We aimed to present the 1st 4 cases of circumferential fences created with Dacron vascular graft. Four right-lobe grafts weighing 522-1,040 g were used. A polytetrafluoroethylene vascular graft was used for the integration of segment 5 vein and segment 8 vein into the drainage model, whereas a Dacron graft was used to creating a circumferential fence. The patency of hepatic outflow evaluated with the use of multidetector computerized tomography at postoperative day 7. Venous outflow obstruction was not detected in any cases. This study suggested that owing to its flexible structure the polyethylene terephthalate vascular graft can be an alternative to allogeneic vascular grafts in forming circumferential fence.

Modification of hydraulic conductivity in granular soils using waste materials.

This paper evaluates the use of waste products such as silica fume and fly ash in modification of the granular soils in order to remove some environmental problems and create new useful findings in the field of engineering. It is known that silica fume and fly ash, as well as clay material, are used in geotechnical engineering because of their pozzolanic reactivity and fineness to improve the soil properties needed with respect to engineering purposes. The main objective of this research project was to investigate the use of these materials in geotechnical engineering and to improve the hydraulic properties of soils by means of grouting. For this reason, firstly, suitable grouts in suspension forms were prepared by using silica fume, fly ash, clay and cement in different percentages. The properties of these cement-based grouts were then determined to obtain the desired optimum values for grouting. After that, these grouts were penetrated into the soil samples under pressure. The experimental work indicates that these waste materials and clay improved the physical properties and the fluidity of the cement-based grouts and they also decreased the hydraulic conductivity of the grouted soil samples by sealing the voids of the soil. The results of this study have important findings concerning the use of these materials in soil treatment and the improvement of hydraulic conductivity of the soils.