Surgical Technique of the Abdominal Organ Procurement Step by Step

  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 demonstr

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Andrzej Baranski

Surgical Technique of the Abdominal Organ Procurement Step by Step

Andrzej Baranski, MD, PhD Department of Surgery and Organ Transplantation Leiden University Medical Centre Leiden The Netherlands

ISBN: 978-1-84800-250-0 e-ISBN: 978-1-84800-251-7 DOI: 10.1007/978-1-84800-251-7 British Library Cataloguing in Publication Data © 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 licences 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 9 8 7 6 5 4 3 2 1 springer.com

This book is dedicated to the following people who have been – and are still – important in my life: Prof. Dr. J. Nielubowicz (1915–2000), Prof. Dr. J. K. Szmidt, Prof. Dr. J. Polanski, S. Frunze: my surgery teachers from Warsaw University Medical School, Warsaw, Poland who taught and guided me during my first steps in surgery. W.S.L. Kowalski, BChD, LDSRCS (Eng), MA who, for many years, has been both a friend and a sounding board whom I trust and respect. Prof. Dr. J.H. van Bockel from Leiden University Medical Centre, Leiden, The Netherlands, who has inspired me to write this book. Finally, I want to express my respect, thanks and love to my wife, Ewa Anna Baranska Szczepanowska, my daughters Katarzyna and Julia, my parents, Zofia and Bernard, and my parents-in-law Wieslawa and Jan Szczepanowscy – my dearest, who always love and believe in me.

Preface

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 transplantation. 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) procu