Comparison of experienced and inexperienced centers in cadaveric organ preparation for transplantation
Yükleniyor...
Dosyalar
Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: The aim of this study is to compare the experienced centers with inexperienced centers due to the harvesting of cadaveric
organs. Despite the improvements in medical treatments, the most effective treatment method for chronic renal failure and liver
cirrhosis is organ transplantation. Organ transplantation preparation has some differences depending on whether the donor type is
live or cadaveric. The perfusion, extraction, packaging and transport of cadaveric organs require special care and procedures.
Material and Methods: Liver and kidney cadaveric organs which were harvested and sent by external centers were evaluated before
transplantation in Antalya Medicalpark Organ Transplantation Department between January 2016 and August 2018. Organs were
evaluated as good or bad in three groups according to perfusion, surgical extraction technique and packaging method. The external
centers who harvested and transport the organs were divided into two groups as experienced or inexperienced centers according to
the number of organ transplantations performed by them in one year.
Results: Antalya Medicalpark Organ Transplantation Department admitted 17 cadaveric liver and 82 cadaveric kidney organs from
external centers for transplantation between January 2016 and August 2018. According to the evaluation of packaging, 12 liver
cadaveric organs were considered as good and 5 of them as bad. The packaging of 3 of the incoming kidneys was considered poor.
According to the evaluation of extraction, 7 kidneys were considered as bad. Injury in the renal artery and vein hilus level, inappropriate
cut in the ureter from the renal pelvis, short cuts of renal arteries, dissection were the injuries we encountered. According to the
evaluation of perfusion, 6 kidneys that were clotted in the renal vein were considered to be poor.
Conclusions: Organ extraction operations and organ preservation procedures directly affect transplant success. Therefore the
harvesting team should control all the stages and procedures from extraction to packaging carefully.
Açıklama
Anahtar Kelimeler
Kaynak
Annals of Medical Research
WoS Q DeÄŸeri
Scopus Q DeÄŸeri
Cilt
Sayı
Künye
Yuksel, Y. (2021). Comparison of experienced and inexperienced centers in cadaveric organ preparation for transplantation . Annals of Medical Research
