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DOI: 10.1055/s-0031-1285824
Surgical Aspects of Donor Hand Recovery for Transplantation
Publication History
17 December 2010
11 March 2011
Publication Date:
22 August 2011 (online)
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Abstract
The purpose of this article is to share our institution's experience in optimizing the suitability of composite donor tissue for use in hand transplantation. The centerpiece of this process includes procurement techniques, preservation and timing issues, and anatomical matching. Recovery of the donor hand must proceed in an efficient, organized, and expedient manner. Proper timing of the donor operation not only ensures the quality of donor tissue and outcome for the hand recipient, but also allows surgeons recovering other organs to obtain high quality tissue for those recipients. Timing remains a critical factor in preserving tissue after removal from the donor. We will also consider the factors of temperature and preservation solution during transport.
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References
- 1 Brunelli GA, Brunelli GR. Tissue changes at different periods of ischemia. Int Angiol 1995; 14 (3) 253-263
- 2 Kaufman HH, Huchton JD, Patten BM, Vogel RG, Adler SK. Limb preservation for reimplantation. A review. J Microsurg 1980; 2 (1) 36-41
- 3 Collins GM, Hartley LC, Clunie GJ. Kidney preservation for transportation. Experimental analysis of optimal perfusate composition. Br J Surg 1972; 59 (3) 187-189
- 4 Jamieson NV, Sundberg R, Lindell S et al. Preservation of the canine liver for 24-48 hours using simple cold storage with UW solution. Transplantation 1988; 46 (4) 517-522
- 5 Ploeg RJ, Goossens D, McAnulty JF, Southard JH, Belzer FO. Successful 72-hour cold storage of dog kidneys with UW solution. Transplantation 1988; 46 (2) 191-196
- 6 Adam R, Morino M, Diamond T et al. Influence of prolonged cold ischemia using UW solution on graft function and outcome following liver transplantation. In: Book of Abstracts: 5th Congress European Society for Organ Transplantation;1991:140
- 7 Stein DG, Permut LC, Drinkwater Jr DC , et al. Complete functional recovery after 24-hour heart preservation with University of Wisconsin solution and modified reperfusion. Circulation 1991; 84 (5 Suppl) III316-III323
- 8 Jeevanandam V, Auteri JS, Sanchez JA et al. Improved heart preservation with University of Wisconsin solution: experimental and preliminary human experience. Circulation 1991; 84 (5, Suppl) III324-III328
- 9 Wildhirt SM, Weis M, Schulze C et al. Effects of Celsior and University of Wisconsin preservation solutions on hemodynamics and endothelial function after cardiac transplantation in humans: a singlecenter, prospective, randomized trial. Transpl Int 2000; 13 (Suppl 1) S203-S211
- 10 Lanzetta M, Dubernard JM, Petruzzo P. World Experience in Hand Transplantation. International Registry on Hand and Composite Tissue Transplantation 2009. Available at: http://www.handregistry.com/page.asp?page=4 Accessed November 2, 2010