By Gabriel Oniscu, John Forsythe, John Fung
Presents transplant pros with a step-wise method of stomach organ retrieval and bench surgical procedure, illustrating advanced anatomical events and supplying perform issues and selection algorithms. A go-to reference for transplant surgeons, trainees and fellows, in addition to for different pros fascinated with belly organ transplantation.
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Additional resources for Abdominal Organ Retrieval and Transplantation Bench Surgery
54 Menasche P, Termignon JL, Pradier F, et al. Experimental evaluation of Celsior, a new heart preservation solution. Eur J Cardiothorac Surg 1994; 8:207–13. 55 Lee S, Huang CS, Kawamura T, et al. Histidinetryptophan-ketoglutarate or celsior: which is more suitable for cold preservation for cardiac grafts from older donors? Ann Thorac Surg 2011; 91(3):755–63. 56 Karam G, Compagnon P, Hourmant M, et al. A single solution for multiple organ procurement and preservation. Transplant Int 2005; 18(6):657–63.
Many guidelines now only recommend the use of thyroid hormones if cardiac function is poor, although there is little risk in administration. Hormonal therapy often includes methylprednisolone, thyroid hormones, vasopressin/DDAVP and insulin. Management of the Brainstem Dead Organ Donor Due to a combination of low insulin levels, critical illness and steroid administration, glucose levels are often high. An intravenous infusion of a short-acting insulin should be used to maintain normoglycemia.
Cardiovascular changes mediated by spinal reflexes may be induced by surgical stimulus and may require to be treated with vasoactive drugs. Since brainstem death has occurred the administration of anesthesia is unnecessary. Some retrieval teams administer volatile anesthetic drugs during retrieval for the control of hypertension and as they may have beneficial preconditioning effects on retrieved organs, although there is no evidence for this. Coordination of drug administration, particularly heparin, is important.
Abdominal Organ Retrieval and Transplantation Bench Surgery by Gabriel Oniscu, John Forsythe, John Fung