The role and problems of posthumous donation and surgical features of organ explantation
DOI:
https://doi.org/10.11603/2414-4533.2022.2.12879Keywords:
organ donation, explantation, brain death, organ transplantationAbstract
The aim of the work: to determine the proportion of organs suitable for transplantation and the surgical features of organ explantations from post-mortem donors.
Materials and methods. The study included 14 post-mortem donors who met the safety criteria of a potential donor and who underwent organ explantation from May 2021 to December 2021 on the basis of Kyiv Regional Clinical Hospital, 14 % (2 people) of them are over 60 years old and 86% (12 people ) under 60 years of age.
Results and Discussion. According to the results of this reseach, it can be argued that despite the laboratory indicators of donor safety, some organs are not suitable for further transplantation for various reasons. In addition, every third or fourth explantation is accompanied by variable vascular anatomy.
Conclusions. The modern development of transplantation in our country has allowed us to significantly improve the results in the fight for the lives of patients. So, posthumous donation saves the life of at least 4 people. At the same time, this study demonstrates that 36 % of hearts, 43 % of liver and 7 % of kidneys can not be used for transplantation if the laboratory criteria for donor safety are met. Variable vascular anatomy occurs in 25 % of explanted livers and 39% of kidneys, which lengthens the time of organ explantation and, accordingly, the period of cold ischemia.
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