Surgical Technique of the Abdominal Organ Procurement: Step by Step

ISBN-13: 9781848002500 / Angielski / Twarda / 2008 / 207 str.

Andrzej Baranski

Opis

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.

Spis treści

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.

O autorze

Dr Andrzej G. Baranski is a Transplant Surgeon at the Department of Surgery and Organ Transplantation, Leiden University Medical School, Leiden, The Netherlands. He has performed more than 500 organ harvesting procedures in more than six European countries. Through national and international courses, he has taught the surgical technique of abdominal organ donation to more than 100 people. In his ward, he has trained more than 10 surgeons in organ procurement and transplantation, two of whom have become completely independent procurement and transplant surgeons. He has been running popular national yearly courses in The Netherlands since 2000. The European Donor Surgery Masterclass (EDSM) together with ESOT remains very popular with Surgeons and Surgical Fellows. Each time, the demand to register is three times higher than available places.

He has edited the "Abdominal Multi Organ Donation Procedure" CD ROM which is still very popular in Europe and other countries (printed in more than 5000 copies- supported by unrestricted grant of Fujisawa Gmbh and now Astellas).

Blurb

 

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.

This title is a useful pocket guide for practicing surgeons or senior residents participating in organ procurement teams, wishing to learn abdominal organ procurement. The high illustrative content offers great worth as a step-by-step walkthrough, with clear diagrams further supplementing the text to provide the most detailed handbook available on abdominal transplantation.