This book presents a view of the current environment of organ donation and transplantation after cardiac death in China, including legal and ethical aspects of cardiac death, assessment and management of potential organ donor, quality evaluation and machine perfusion of organ, as well as immunology, imaging and pathology related to transplantation from cardiac death donors. Since 2015, voluntary donation has been announced as the only legitimate venue for organ transplant in China. As cardiac death is adopted in China, the donation mode is different from those in other countries where brain death is adopted. It offers transplant surgeons and physicians valuable information on optimal practice proposal for organ donation after cardiac death in China.

Organ Donation in Japan: A Medical Anthropological Study by Maria-Keiko Yasuoka reveals insight into Japan as the country with the most severe organ shortages and the lowest numbers of organ donations among medically advanced countries. The history of organ transplantation in Japan is a unique and troubled one. Many academic hypotheses such as cultural barriers, the Japanese concept of the dead body, traditional beliefs, and so on have been advanced to explain the situation. However, little research has yet revealed the truth behind the world of Japanese organ transplantation. Yasuoka conducts direct interview research with Japanese "concerned parties" in regards to organ transplantation (including transplant surgeons, recipients, and donor families). In this book, she analyzes their narrative responses, considering their distinctive ideas, interpretations, and dilemmas, and sheds light on the real reasons behind the issues. Organ Donation in Japan is the first book to delve into the challenging and taboo Japanese concepts of life and death surrounding organ transplantation by thoroughly presenting and investigating the narratives of concerned parties.

The book describes in detail the technical aspects of Living Donor Liver Transplantation (LDLT), the routine practice of the world renowned Liver Transplant Team at Hong Kong's Queen Mary Hospital, and our views on various issues of the operation. The thorough review on the history and technical procedures of LDLT and discussion on various aspects of the operation and its future perspectives will serve as a unique reference for surgeons, researchers, nurses, medical students, patients and laypersons seeking information on LDLT.

This latest edition offers updated operative results from our center and the latest modifications of the technique. With contributions from a leading microvascular surgeon, a critical care clinician, a psychiatrist, and two anesthetists from the same liver transplant team, the LDLT experience at Queen Mary Hospital is depicted in an even greater extent.

This book describes and illustrates surgical procedures in the field of hepatobiliary and pancreatic surgery and liver transplantation, including important cutting-edge techniques. Written by master surgeons from the Korean Association of Hepato-Biliary-Pancreatic Surgery, it will be invaluable for all who are embarking on a career in this field or are seeking to improve their surgical skills. The three sections of the book focus on liver surgery, gallbladder and biliary surgery, and pancreatic surgery. A wide range of operative procedures are covered, including different techniques of hepatectomy, deceased and living donor liver transplantation, cholecystectomy, resection of choledochal cysts, procedures appropriate in the contexts of hilar and extrahepatic cholangiocarcinoma, pancreatectomy, and pancreaticoduodenectomy. Attention is drawn to essential tips and tricks, and each chapter includes video clips of the described procedures in addition to high-quality surgical photos and illustrations.

In this issue of Thoracic Surgery Clinics, guest editors Drs. Jasleen Kukreja and Aida Venado bring their considerable expertise to the topic of Lung Transplantation. Top experts in the field cover key topics such as inpatient management of the acutely decompensating lung transplant candidate, lung allograft rejection, management of the potential lung donor, postoperative management of lung transplant recipients, and more. Contains a variety of relevant, practice-oriented topics including donation after circulatory death; lung transplant for ARDS; centralized organ recovery and reconditioning centers; infectious complications in lung transplantation; anesthetic management during lung transplantation; and more. Provides in-depth clinical reviews on lung transplantation, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This book is designed to present a comprehensive and state-of the-art approach to all aspects of geriatric surgery within the broad confines of surgery in geriatrics including general surgery, neurosurgery, thoracic surgery, vascular surgery, cardiac surgery, surgical oncology, hepatobiliary and transplant surgery, plastic, colorectal, orthopedic, gynecologic, and urologic surgery. The text is split into four parts. The first part is organized under general considerations on the geriatric surgical patient and includes current trends in geriatric surgery, and a number of important general issues such as practical approaches to reversal of bleeding/anticoagulation, role of anesthetic concerns in advanced age, frailty index and measurements of physiological reserves, nutritional support in the elderly, quality of life in the elderly, drug use, and family involvement. Part two of the book focuses on surgery specific system-based problems in geriatric surgical patients. The third part addresses many other important aspects of geriatric surgery including palliative and end of life care for the elderly, religious issues and the elderly care surgery, elderly with mental health issues, and nursing care of elderly patients. The fourth and final part describes the need for geriatric surgical care education and the components that are essential for the curriculum of current and future generations of students. Written by experts in the field, Surgical Decision Making in Geriatrics addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.

The sudden call, the race to the hospital, the high-stakes operation - the drama of transplant surgery is well known. But what happens before and after the surgery? In Transplanting Care, Laura L. Heinemann examines the daily lives of midwestern organ transplant patients and those who care for them, from pretransplant preparations through to the long posttransplant recovery. Heinemann points out that as efforts to control healthcare costs gain urgency - and as new surgical techniques, drug therapies, and home medical equipment advance - most of the transplant process now takes place at home, among kin. Indeed, the transplant system effectively depends on unpaid care labor, typically provided by spouses, parents, siblings, and others. Drawing on scores of interviews with patients, relatives, and healthcare professionals, Heinemann follows a variety of patients and loved ones as they undertake this uncertain and strenuous ""transplant journey"". She also shows how these home-based caregiving efforts take place within the larger economic and political context of a paucity of resources for patients and caregivers, who ultimately must surmount numerous obstacles. The author concludes that the many snags encountered by transplant patients and loved ones make a clear case for more comprehensive health and social policy that treats care as a necessarily shared public responsibility. An illuminating look at the long transplant journey, Transplanting Care also offers broader insight into how we handle infirmity in America - and how we might do a better job of doing so.

This comprehensive textbook, covering all aspects of the perioperative management of patients undergoing organ transplantation, serves as the standard reference for clinicians who care for transplant patients on a day-to-day basis as well as those who encounter organ transplantation only occasionally in their clinical practice. Anesthesia and Perioperative Care for Organ Transplantation covers transplantation of the heart, lung, liver, pancreas, and kidney, as well as multivisceral and composite tissue graft transplantations. For each kind of transplantation, the full spectrum of perioperative considerations is addressed: preoperative preparation, intraoperative anesthesia management, surgical techniques, and postoperative care. Each chapter contains evidence-based recommendations, relevant society guidelines, management algorithms, and institutional protocols as tables, flow diagrams, and figures. Photographs demonstrating surgical techniques, anesthesia procedures, and perfusion management are included. Anesthesia and Perioperative Care for Organ Transplantation is for anesthesiologists and critical care physicians; transplantation surgeons; nurse anesthetists; ICU nurses; and trainees.

This book depicts the basic aspects of all surgeries for kidney transplantation in both adults and children, including procurement of kidney, preparation of the kidney graft, vessel reconstruction, kidney implantation in various conditions and the diagnosis and management of surgical complications post-transplant. This book also describes the surgery for kidney transplant with abnormal lower urinary tract; the surgery for third or subsequent kidney transplant and the surgery for transplant nephrectomy by the extra capsule or intra capsule technique. Furthermore, it has been emphasized that early recognition of vascular complications is critical in order to avoid the kidney graft loss. This book provides numerous images to illustrate the abnormal findings during the investigation of kidney graft, in order to facilitate prompt diagnosis and management of post-transplant complications. Moreover, the different techniques in management of urological complications are discussed such as Boari flap urinary tract reconstruction. This book also introduces advanced laparoscopic surgery for kidney implantation. The authors share their experiences in developing the large animal training model and early clinical experience. Importantly, editors invited Professor Modi to contribute to the chapters on laparoscopic kidney transplant and robotic kidney transplant. Professor Modi is a well-known pioneer in advanced laparoscopic kidney transplant and robotic kidney transplant. Last but not least, the assessment of live kidney donor has been thoroughly discussed based on the review of the guidelines from a few societies. The surgery for donor nephrectomy by either transperitoneal or retroperitoneal approach has been well illustrated in details with pictures. This book is written based on the authors' 20 years' experience in kidney transplantation. It is hoped to be helpful for transplant fellows and junior transplant surgeons.

This book brings together researchers from three different continents who present different perspectives on the complex issue of organ donation. Several important authors have contributed to this edited book on organ donation discussing the phenomenon from different aspects, particularly the psychological, medico-legal, religious and communications perspectives. Some of the authors have not only studied these questions academically, but they themselves are live organ donors or organ recipients as well. The chapters by Cole, Camilleri-Zahra, Schweda and Wolhke, Siegel, Anker and Jansen give importance to the voice of organ donors, recipients and their families. They discuss the dilemmas which donors, recipients and their families face when they come to learn that a family member needs an organ transplant, and the subsequent difficult decisions that have to be made by the recipients, possible donors and family members. The phases before and after the donation of organs are as important as the donation itself. Fear, guilt and other strong emotions are intrinsic to the donation process both in live donation as well as in cadaveric donation. The psychological and health challenges presented by organ donation, discussed by Lauri, Maloney, Walker and Charlton, Shanteau and Hyde, are compounded by legal, religious and cultural issues, which will also be discussed in different chapters of the book by Ellul, Borg and Reinhart. Finally, the chapters by Alvaro, Feeley and Yang discuss how the media can influence and inform public attitudes towards organ donation and discuss how it can help increase the number of organ donors. This book is meant for those who, in some way, come in contact with people who need an organ transplant and those who have to help people come to reach informed decisions.

As a female surgeon, Dr. Kellee Slater works in one of the most demanding areas of medical operations, liver transplantation. In this inspiring, heartbreaking, and darkly humorous memoir, she opens up the fast-paced world of donor surgery. She takes readers with her as she flies across the Rocky Mountains in winter to collect transplant organs, rushes out of a department store change room to save the life of a toddler who is choking to death, and, horrifyingly, tells the wrong father in a hospital waiting room that there is no hope for his daughter. An ideal read for anyone with an interest in modern medicine, this inspirational memoir portrays both the joyous and difficult experiences of one of the most demanding jobs in the world.

The issue of living organ donation is important because it represents one important set of possibilities for balancing the needs of people seeking organs with one another, and with the needs of potential organ donors. On one side of the balance, the drive to increase the supply of transplantable organs is fueled by people awaiting organ transplants. They are, in a sense, competing with one another on waiting lists for potentially life-saving scarce resources. On the other side of the balance, the drive to ensure that the transplant system is ethical and equitable precludes some mechanisms that would increase the supply of transplantable organs. Some options that have been rejected to date in the United States include paying healthy persons to donate their organs, and mandating that transplantable organs be harvested from all cadavers. To maintain the most ideal balance for the organ transplantation system, Congress may now wish to clarify whether certain new types of living organ donation should be adopted to increase the supply of transplantable organs, or prohibited for ethical and/or equitable reasons.

Kidney transplantation has revolutionised the treatment of end-stage renal failure. Not only does it offer the best hope for complete rehabilitation, but it has also proved to be the most cost-effective of all treatment options, including dialysis. The surgical techniques involved have been mastered for half a century and are now considered routine. Nevertheless, this should not prevent us from appreciating the range and complexity of the issues surrounding kidney transplantation. This book examines the latest research in this field including rejection.

In recent years, transplantation immunology has evolved as a distinct field founded on the recognition that rejection of a transplanted organ or tissue is mediated by immune mechanisms in the host responding to antigens in the donor tissue. Included within the scope are T cell immunity; Antigen presentation; Alloreactivity; Pancreas and islet cell transplantation; Allogeneic bone marrow transplantation Models of tolerance induction; Xenotransplantation and The swine leukocyte antigen (SLA) complex. This book gathers the latest research in the exciting new field of transplantation immunology.

Th is book takes an integrated, evidence-based approach the psychiatricaspects of organ transplantation. Unlike any other text currently on the market, this title presents the core principles of transplant psychiatry through an organ-based structure that includes the heart, lungs, liver, GI organs, kidney, composite tissue, and other key areas of transplantation. Each section is divided into chapters discussing psychosocial, medical, and surgical considerations prior to and post-transplant, such as indications leading to a particular type of transplantation, medical course and complications aft er transplantation, psychiatric and psychosocial considerations before and aft er transplantation, history of each type of organ transplant, and any other special considerations. Th e text ends with special topics in care, including psychopharmacology, substance abuse, psychosocial evaluation of recipients and donors, ethical considerations, cross-cultural aspects, and building the transplant psychiatry practice. It includes excellent learning tools, including over 140 tables and figures for ease of use. Written by interdisciplinary experts, Psychosocial Care of End-Stage Disease and Transplant Patients is a valuable resource for students and medical professionals interested in psychiatry, psychology, psychosomatic medicine, transplant surgery, internists, hospital administrators, pharmacists, nurses, and social workers.

This book provides an evidence based guide to the management of common kidney conditions. Concise and highly structured chapters outline a diagnosis and treatment framework for kidney diseases encountered within daily practice. Particular attention is given to the management of chronic kidney disease, genetic kidney diseases, cardiovascular complications, haemodialysis, kidney cancer, peritoneal dialysis, and kidney transplantation. Management of Kidney Disease aims to improve outcomes for patients with kidney diseases and is relevant to trainee and practising nephrologists, as well as healthcare professional treating kidney diseases. Additional questions and answers via app: Download the Springer Nature Flashcards app free of charge and use exclusive additional material to test your knowledge.

The problems a transplant patient faces do not stop once the surgery is over; in addition to problems with the transplant itself, the host body reacts in a number of different ways to the arrival of a new organ and the immuno suppression required to sustain it. This pioneering text from an internationally known expert on the kidney details the problems that a patient faces with a kidney transplant and looks at how the physician can treat these; it will be an essential resource for all those involved in the initial and continuing treatment of kidney transplant patients.

Given the tensions and demands of medicine, highly successful physicians and surgeons rarely achieve equal success as prose writers. It is truly extraordinary that a major, international pioneer in the controversial field of transplant surgery should have written a spellbinding, and heart-wrenching, autobiography. Thomas Starzl grew up in LeMars, Iowa, the son of a newspaper publisher and a nurse. His father also wrote science fiction and was acquainted with the writer Ray Bradbury. Starzl left the family business to enter Northwestern University Medical School where he earned both and M.D. and a PhD. While he was a student, and later during his surgical internship at the Johns Hopkins Hospital, he began the series of animal experiments that led eventually to the world\u2019s first transplantation of the human liver in 1963. Throughout his career, first at the University of Colorado and then at the University of Pittsburgh, he has aroused both worldwide admiration and controversy. His technical innovations and medical genius have revolutionized the field, but Starzl has not hesitated to address the moral and ethical issues raised by transplantation. In this book he clearly states his position on many hotly debated issues including brain death, randomized trials for experimental drugs, the costs of transplant operations, and the system for selecting organ recipients from among scores of desperately ill patients. There are many heroes in the story of transplantation, and many \u201cpuzzle people,\u201d the patients who, as one journalist suggested, might one day be made entirely of various transplanted parts. They are old and young, obscure and world famous. Some have been taken into the hearts of America, like Stormie Jones, the brave and beautiful child from Texas. Every patient who receives someone else\u2019s organ - and Starzl remembers each one - is a puzzle. \u201cIt was not just the acquisition of a new part,\u201d he writes. \u201cThe rest of the body had to change in many ways before the gift could be accepted. It was necessary for the mind to see the world in a different way.\u201d The surgeons and physicians who pioneered transplantation were also changed: they too became puzzle people. \u201cSome were corroded or destroyed by the experience, some were sublimated, and none remained the same.\u201d

With a strong focus on technical efficiency, Operative Techniques in Transplant Surgery takes you step by step through every aspect of solid organ transplantation surgery. Using concise text, full-color illustrations, and operative images, it provides detailed coverage of deceased and living donation, as well as liver, kidney, pancreas, and lung transplantation. You'll find practical, step-by-step guidance on preoperative, intra-operative, and post-operative clinical decision making, helping you hone your skills and incorporate today's innovative approaches into your surgical practice.Key Features More than 80 global contributors known for their technical expertise share their knowledge and skills. Each clinical issue is discussed in the same easy-to-follow format: definition, differential diagnosis, patient history and physical findings, imaging and other diagnostic studies, surgical management, techniques, pearls and pitfalls, postoperative care, outcomes, and complications. Comprehensive coverage keeps you up to date on every aspect of the field , including the management of complex portal hypertension in children and adults. Full-color, step-by-step explanations of operative procedures help you master each technique, avoid complications, and anticipate outcomes. Extensive tables and bulleted text allow for quick and easy reference, while intraoperative photographs provide a surgeons-eye view of each procedure. Ideal for anyone involved in transplantation, including medical students, residents, transplant physicians, surgical trainees, and practicing transplant surgeons. Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: Complete content with enhanced navigation . Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web. Cross-linked pages, references, and more for easy navigation. Highlighting tool for easier reference of key content throughout the text. Ability to take and share notes with friends and colleagues. Quick reference tabbing to save your favorite content for future use.

Chest Surgery provides readers with a comprehensive and authoritative text that explains and illustrates all thoracic surgery procedures, with the exception of those on the heart and esophagus. The easy-to-read text is supported by clear, instructive line drawings and intraoperative photographs. The result is a well-illustrated practical guide for the seasoned and novice practitioner alike. The contributors, who are all acknowledged experts, demonstrate simple and safe forms of operation by distilling their experience into the most efficient methods for both standard and less common procedures. For ease in following a surgical procedure, the text description of each step is coupled with an appropriate drawing. There are often numerous ways of performing an operation, and this book takes care to impart the basic principles underlying surgery. It will be the "must-have" guide for all thoracic surgery residents who wish to acquaint themselves with the latest developments in this constantly expanding field.

This handbook is the most authoritative and up-to-date reference on spine technology written for practitioners, researchers, and students in bioengineering and clinical medicine. It is the first resource to provide a road map of both the history of the field and its future by documenting the poor clinical outcomes and failed spinal implants that contributed to problematic patient outcomes, as well as the technologies that are currently leading the way towards positive clinical outcomes. The contributors are leading authorities in the fields of engineering and clinical medicine and represent academia, industry, and international government and regulatory agencies. The chapters are split into five sections, with the first addressing clinical issues such as anatomy, pathology, oncology, trauma, diagnosis, and imaging studies. The second section, on biomechanics, delves into fixation devices, the bone implant interface, total disc replacements, injury mechanics, and more. The last three sections, on technology, are divided into materials, commercialized products, and surgery. All appropriate chapters will be continually updated and available on the publisher's website, in order to keep this important reference as up-to-date as possible in a fast-moving field.

This reference work provides a comprehensive review of the most crucial and provocative aspects of pancreas transplantation. It represents a unique source of information and guidance for the current generation of transplant surgeons that evolved from being pure clinicians into savvy administrators knowledgeable in every regulatory aspect governing transplantation. The book contains 15 chapters covering every single aspect of the surgical operation in the donors as well as the recipients of pancreas transplants. The pre-operative workup, as well as the post-operative immunosuppression management, and the treatment of recurrent diseases are addressed in detail. In addition, the book further expands the role of islet cell transplant with its ever increasing prominence, which includes the role of autologous islet cell transplant. The impact of increasing regulatory burdens from the federal government coupled with the economic and health burden of Diabetes mellitus is discussed.