Surgical Technique of the Abdominal Organ Procurement Step by Step

di Baranski • 2009 • dettagli prodotto

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DESCRIZIONE

Encompassing Dr Baranski’s 20 years of experience in the filed of abdominal organ donation, this book is a comprehensive step-by-step guide to the field, with many colour photographs and clear drawings to aid the reader. The text concisely demonstrates the many difficult steps in the organ procurement process, also highlighting the major potential pitfalls and common surgical mistakes that have arisen during the author’s extensive career. The success of organ transplantation starts with the optimal medical and surgical treatment of the donor as without good organ harvesting, there is a high mortality incidence in the patients on the waiting list and thus less space for new patients. Organ procurement is therefore now recognized as an essential part of organ transplantation. In most donors, the surgical procedure can be challenging for an inexperienced surgeon and so often a detailed walkthrough is required to prepare for the operation. This part of transplant surgery is critically important as inadequate preservation or surgical injury at this stage can lead to complete organ damage or to serious complications in the recipient. At present, most multi-organ donor (MOD) procurement procedures are performed by a local surgical team, which is not necessarily the same team as the one responsible for the transplantation. The accepting center therefore has to rely on the expertise and skills of the procurement team, meaning that adequate training and a standardization of the surgical techniques is of vital importance.Table of contents Introduction: relationship between the procurement surgeon and the transplant coordinator, before, during and after abdominal organ procurement.- Position of the abdominal retractor.- Laparotomy and thoracotomy.- Abdominal organ inspection with a special anatomy of harvested organs.- Dissection of the avascular surfaces - organ mobilization.- Hepatoduodenal ligament dissection.- Dissection during small bowel procurement.- Great vessels cannulation.- Abdominal organ perfusion.- Thoracic organ procurement.- Small bowel procurement.- Pancreas and the liver procurement.- Kidney procurement.- Organ packing.- Body closing.