By Gabriel Oniscu, John Forsythe, John Fung
Offers transplant pros with a step-wise method of belly organ retrieval and bench surgical procedure, illustrating complicated anatomical events and offering perform issues and determination algorithms. A go-to reference for transplant surgeons, trainees and fellows, in addition to for different pros desirous about belly organ transplantation.
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Thorac Cardiovasc Surg 1980; 28:295–302. 31 Hoelscher M, Groenewoud AF. Current status of the HTK solution of Bretschneider in organ preservation. Transplant Proc 1991; 23(5):2334–7. Strategies in Preservation of Abdominal Organs 32 Gubernatis G, Dietl KH, Kemnitz J, et al. Extended cold preservation time (20 hours 20 minutes) of a human liver graft by using cardioplegic HTK solution. Transplant Proc 1991; 23(5):2408–9. 33 Steininger R, Roth E, Holzmueller P, et al. Comparison of HTK- and UW-solution for liver preservation tested in an orthotopic liver transplantation model in the pig.
There are several aspects (such as sequence of organ retrieval, type and volume of cold perfusion) that are dealt with differently by the retrieval teams. There is, however, a growing body of evidence that may help even out some of these practice variations in the future. Retrieval team It is a prerequisite that the retrieval team is fully conversant with the legal setting applicable to the country in which the retrieval is about to take place. The structure of the retrieval team includes: • Lead abdominal surgeon (fully trained in all aspects of abdominal retrieval) • Assistant surgeon • Theatre nurse • Theatre practitioner (responsible for perfusion) There is evidence that the addition of a transplant anesthetist to the team improves the quality of donor management and renders the team self-sufficient, with faster access to theatre, particularly in smaller hospitals.
Am J Physiol 1985; 249:C149–59. 20 Kosieradzki M, Kuczynska J, Piwowarska J, et al. Prognostic significance of free radicals: mediated injury occurring in the kidney donor. Transplantation 2003; 75(8):1221–7. 21 Byrne AT, Johnson AH. Lipid peroxidation. In: Grace P, Mathie R (eds) Ischaemia-reperfusion injury. Blackwell Science, Malden, Massachusetts, 1999, pp 148–56. 22 Eurotransplant International Foundation. Annual report 1976. Eurotransplant, Leiden, 1976. 23 Ross H, Marshall VC, Escott ML.