Artificial Organs

Artificial Organs covers everything from the support of multiorgan failure, and blood substitutes, to the management of short bowel syndrome, artificial sphincters, and circulatory support in heart failure. Other issues covered include pancreatic substitu

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Artificial Organs

New Techniques in Surgery J.S.P. Lumley and Nadey Hakim Series Editors

New Techniques in Surgery Series

Nadey Hakim (Ed)

Artificial Organs

13

Editor Nadey Hakim Renal and Transplant Services Hammersmith Hospital London, UK

ISBN 978-1-84882-281-8 e-ISBN 978-1-84882-283-2 DOI 10.1007/978-1-84882-283-2 British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2009920379 # Springer-Verlag London Limited 2009 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Printed on acid-free paper Springer ScienceþBusiness Media springer.com

Foreword

Artificial organs have come a long way since the first dialysis machine, the rotating artificial kidney, was invented in 1944 by Willem Johan Kolff, who is known as the ‘‘father of artificial organs’’. At that time he met stiff resistance from his hospital superiors but his persistence paid off and a million saved lives have been attributed to his first invention. He was indeed the first to mix medicine and engineering. An artificial organ is any machine, device, or other material that is used to replace the functions of a faulty or missing organ or other parts of the human body. Some body parts are more of a challenge than others. The heart has one purpose and it is to pump blood; however, the liver has biochemical and physiological functions which are difficult to simulate. The implantation of an artificial organ is critical because of the patient life dependency on the artificial organ itself. The treatment of choice is organ transplantation, however, transplant candidates face a long waiting time and many die while on the waiting list. In addition there are patients who are excluded from transplantation because of age or presence of other diseases. This book presents an overview of the current state of knowledge of artificial organs including the liver, pancreas, kidney, heart, cochlea, skin, stem cells, composite tissue allograft, and sphincters. It is designed for students interested in the field of organ replacem