Description
Springer Surgical Technique of the Abdominal Organ Procurement Step by Step 1st Editon 2008 Hardbound by Andrzej Baranski
The intention of this book is to promote a surgical technique of abdominal organ procurement in order to avoid organ damage and thus enhance the quality of retrieved organs. Organ procurement from a brain death donor is an essential part of organ tra- plantation. In donors where more than one organ is removed, the surgical procedure is critically important and could be challenging both for the procurement and recipient surgeons. Surgical injury or inadequate preservation of organs at this stage may cause irreversible organ damage or can lead to serious complications in the recipient. Nowadays, local or regional surgical teams, whereby the transplant surgeon is not always one of the team members, perform most multiorgan donor (MOD) procurement procedures. To trust each other and to avoid surgical mistakes, a- quate training and standardization of the surgical techniques is required. Teaching and training future procurement surgeons to adopt a standard operating procedure could be the right way to prevent technical mistakes and damage during abdominal multiorgan procurement. I hope that in the near future, every transplant surgeon involved in organ procurement will have to be certified. The different national and international transplant organi- tions in Europe have been already started to establish the teaching programs, which will lead to high expertise in the field of abdominal organ procurement. Transplant Coordinator–Procurement Team: Bilateral Aid and Understanding, Before and During Abdominal Organ Procurement1.- Preoperative Arrangements for Organ Donation.- Incision and Exposure.- Detailed and Thorough Abdominal Organ Inspection.- Right-Sided Medial Visceral Rotation: The Cattel–Braasch Manoeuvre.- Infrarenal and Superior Mesenteric Artry Major Vessel Dissection.- Left Liver Lobe and Supraceliac Aorta.- Hepatoduodenal Ligament and Biliary Tree.- Small Bowel.- Thorax Procurement Team(s).- Preparation for Organ Perfusion.- Major Abdominal Vessel Cannulation.- Cold Perfusion.- Thoracic Organ Procurement.- Sequence of Abdominal Organ Procurement.- The Tool-Kit.- Organ Packing.- Post-Procurement Care of the Donor Body.- Operative Report and the Quality Forms.