Surgical Technique of the Abdominal Organ Procurement

The book distills the author's 20-year experience in the field of abdominal organ donation. It is a step-by-step guide with photographs, drawings, and clear explanations highlighting pitfalls. The book guides the reader through the stages of organ procurement.

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.

Autorentext

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).

Klappentext

The book encompasses Dr Baranski's 20 year experience in the field of abdominal organ donation. It is a step-by-step guide with photographs and drawings with clear explanations highlighting pitfalls. The book quickly and easily guides the reader through the difficult steps during organ procurement. It is mainly illustration-based, without much text, and covers surgical technical mistakes and organ damage.

Inhalt
Transplant CoordinatorProcurement 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 CattelBraasch 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.