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Updated: Aug 24, 2026

Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation
Published on: July 18, 2025
Regional procurement team for abdominal organs
S Signori1, U Boggi, F Vistoli
1Divisione di Chirurgia Generale e Trapianti, Università di Pisa, Pisa, Italy.
Insights
A regional procurement team successfully managed 343 multiorgan procurements, ensuring no grafts were discarded due to injury. This policy highlights efficient organ recovery and transplantation strategies.
Area of Science:
- Transplantation Surgery
- Organ Procurement
- Surgical Policy
Background:
- Graft shortages necessitate multiorgan procurements.
- A regional procurement team's 5-year policy is evaluated.
- The study addresses challenges in organ donation and transplantation.
Purpose of the Study:
- To evaluate the effectiveness of a regional procurement team policy.
- To assess the outcomes of multiorgan procurements over a 5-year period.
- To demonstrate the feasibility of complex organ procurement procedures.
Main Methods:
- A regional team performed 343 multiorgan procurements.
- The en bloc harvesting method was utilized for organ recovery.
- Collaboration with 11 institutions and 40 liver teams was established.
Main Results:
- 1374 grafts were procured with zero discards due to iatrogenic injuries.
- Simultaneous procurement and transplantation of liver, pancreas, and small bowel occurred in three cases.
- Regional teams successfully managed donor procedures, with high acceptance rates from transplant teams.
Conclusions:
- Regional procurement teams can effectively manage multiorgan procurements.
- Complex procedures, including en bloc harvesting, are feasible and successful.
- This policy optimizes organ utilization and transplantation outcomes.
Background:
The graft shortages make multiorgan procurements mandatory. We describe the results of a regional procurement team policy that has been employed over a 5-year period.
Methods:
Three hundred forty-three multiorgan procurements were performed by a regional team using an en bloc harvesting method.
Results:
Among 1374 grafts procured, none was discarded because of iatrogenic injuries. In three instances the liver, the pancreas, and the small bowel were procured simultaneously and transplanted to different recipients. In 42 instances the liver was not allocated to our center. Forty liver teams (95%) from 11 institutions agreed to allow the regional procurement team to run the donor procedure.
Conclusions:
Our experience confirms that a regional team can successfully manage most multiorgan procurements including complex donor procedures, such as simultaneous procurement of liver, pancreas, and intestine from the same donor for transplantation to different recipients.
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