By Abhinav Humar, Mark L. Sturdevant
Atlas of Organ Transplantation, moment Edition, presents the reader with a finished and pictorial step by step account of belly organ transplant techniques played by way of modern transplant surgeons this day. Emphasis is put on more moderen strategies or strategies that experience passed through major adjustments. it really is famous that there are various well-accepted concepts for a similar method, with every one having strength benefit. whereas it truly is most unlikely to provide all of those adaptations, an try out is made to explain the typical adaptations in surgical method and customary edition in technique in line with anatomical variations.
Written by way of knowledgeable within the box, Atlas of Organ Transplantation, moment Edition, comprises schematic diagrams and high quality intraoperative images, permitting readers to obviously visualize the process the operative method. This structure presents the reader with a transparent visible and written description of all significant transplant techniques in a single reference book.
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Additional info for Atlas of Organ Transplantation
The asystolic, or non-heartbeating, donor. Transplantation. 1997;63:917–21. Lee KW, Simpkins CE, Montgomery RA, et al. Factors affecting graft survival after liver transplantation from donation after cardiac death donors. Transplantation. 2006;82:1683–8. Locke JE, Segev DL, Warren DS, et al. Outcomes of kidneys from donors after cardiac death: implications for allocation and preservation. Am J Transplant. 2007;7:1797–807. Magliocca JF, Magee JC, Rowe SA, et al. Extracorporeal support for organ donation after cardiac death effectively expands the donor pool.
Although it is not pulsatile, the aorta is easily palpated just above its bifurcation on the left side of the vertebral column. Metzenbaum scissors are used to clear the retroperitoneum over a small segment of distal aorta in preparation for cannulation. There is no need to dissect out the inferior mesenteric artery. A right-angle clamp is used to pass a moist umbilical tape around the distal aorta, which will be used to secure the cannula. Distally, the aorta is clamped with a Kelly clamp. 2 Donation After Cardiac Death Organ Procurement and Transplantation Next, the cannula is passed cephalad through an aortotomy (Fig.
2009; United Network of Organ Sharing 2004; OPTN 2007; United Network for Organ Sharing 2013; Institute of Medicine 2006; Ethics Committee, American College of Critical Care Medicine, Society of Critical Care Medicine 2002; Health Resources and Services Administration, Department of Health and Human Services 2010). The increased risk of ischemic cholangiopathy after DCD liver transplantation and of delayed graft function in DCD kidney transplants can be mitigated by adherence to recommended best-practice DCD protocols, careful selection of DCD organs, and rapid procurement by surgeons familiar with DCD operative techniques.