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Surprisingly, we found that temporary abdominal closure was more frequently needed in cases with a male donor. Our retrospective analysis verified that the ventro�Cdorsal diameter of the left http://www.selleckchem.com/products/ly2157299.html lateral liver is greater in males than in females. However, data for this analysis were only available from 26 living donors, making an analysis for the group that needed temporary abdominal closure impossible. Graft weight and the GBWR did not differ between donor genders. In cases of temporary abdominal closure, we could not report any cases of peritonitis as wound dressings were always handled aseptically, and abdominal closure was achieved within a few days after the initial organ swelling diminished and the vascular, in particular, arterial flow was stabilized. Infants who received a temporary abdominal closure were not treated differently postoperatively. Extubation was performed at a very early stage, and was not delayed because of the planned re-operation. http://www.selleck.cn/products/s-gsk1349572.html Santiba��es et?al. [6] were the first to describe a pediatric monosegmental transplant using a liver segment resected in situ from an living-donor. They published two cases in children weighing 7?kg, using segment II. Noujain et?al. [10] reported on a study of 15 patients weighing http://www.selleckchem.com/products/z-vad-fmk.html 2002 by Kasahara et?al [7]. They were the first to perform and to highlight the advantage of MLT with segment III in an elective setting. Kiuchi et?al. described some anatomic and even immunologic disadvantages of the LFS grafts [24]. They describe a higher rate of vascular complications, and more acute rejection episodes, in the first month, in recipients of LFS grafts. Despite these drawbacks reported only in a few series, the negative impact of the LFS grafts is not nearly as pronounced in comparison to the lower survival rate of the small-for-size grafts in adults. A 2005 published meta-analysis showed an advantage in favor of the use of monosegmental grafts among pediatric series in some centers [21]. However, complication rates were comparable between monosegmental and other grafts [21]. We believe that the rate of vascular complications is not predictable by a calculated GBWR measured in a preoperative volumetry of the potential graft.