Browsing by Subject "Organ procurement"

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    Deceased donor organ procurement injuries in the United States
    (Baishideng Publishing Group Co (World Journal of Transplantation), 2016-06-24) Taber, Tim E.; Neidlinger, Nikole A.; Mujtaba, Muhammad A.; Eidbo, Elling E.; Cauwels, Roxane L.; Hannan, Elizabeth M.; Miller, Jennifer R.; Paramesh, Anil S.; Department of Medicine, IU School of Medicine
    AIM: To determine the incidence of surgical injury during deceased donor organ procurements. METHODS: Organ damage was classified into three tiers, from 1-3, with the latter rendering the organ non-transplantable. For 12 consecutive months starting in January of 2014, 36 of 58 organ procurement organization's (OPO)'s prospectively submitted quality data regarding organ damage (as reported by the transplanting surgeon and confirmed by the OPO medical director) seen on the procured organ. RESULTS: These 36 OPOs recovered 5401 of the nations's 8504 deceased donors for calendar year 2014. A total of 19043 organs procured were prospectively analyzed. Of this total, 59 organs sustained damage making them non-transplantable (0 intestines; 4 pancreata; 5 lungs; 6 livers; 43 kidneys). The class 3 damage was spread over 22 (of 36) reporting OPO's. CONCLUSION: While damage to the procured organ is rare with organ loss being approximately 0.3% of procured organs, loss of potential transplantable organs does occur during procurement.
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    Revitalizing pancreas transplantation: creation of a hands-on training course for pancreas allograft procurement, backbench preparation, and transplantation
    (Springer Nature, 2023) Lutz, Andrew J.; Diwan, Tayyab S.; Hobeika, Mark J.; Dunn, Ty; Proffitt, Elizabeth; Reynolds, Tracy; Fridell, Jonathan A.; Surgery, School of Medicine
    Despite a steady increase in the number of organs available for transplant in the United States, over the last two decades there has been a precipitous decrease in the annual number of pancreas transplants performed. One overlooked consequence of this decline in pancreas transplant volume has been a decrease in experience in proper pancreas procurement and transplantation techniques for transplant surgeons as well as fewer trained abdominal transplant fellows entering the workforce certified for pancreas procurement and transplantation, with those achieving certification having less-developed judgment, skills, and experience. To augment current fellowship training and provide a concentrated experience in pancreas procurement and transplantation, the ASTS developed a hands-on surgical skills workshop focused on proper techniques for pancreas allograft procurement and backbench preparation.