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[Multiple-organ procurement for transplantation].

H Bricard, G Leroy, C Trovero

    Annales Francaises D'Anesthesie Et De Reanimation
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

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    Multiple organ retrieval (MOR) from a single donor can meet the growing demand for transplants. This study highlights the successful transplantation of 88 organs from 28 MOR procedures, emphasizing the need to consider all brain-dead patients as potential donors.

    Area of Science:

    • Transplantation Surgery
    • Organ Procurement
    • Medical Coordination

    Context:

    • Increasing demand for clinical transplantations necessitates innovative graft sourcing strategies.
    • Multiple organ retrieval (MOR) from a single donor offers a potential solution to graft shortages.
    • This study evaluates MOR outcomes from a university hospital serving 1.35 million inhabitants.

    Purpose:

    • To present the results of multiple organ retrieval (MOR) procedures.
    • To assess the feasibility and success of harvesting multiple organs (heart, liver, kidney) from single donors.
    • To emphasize the importance of coordination and planning in MOR.

    Summary:

    • A 3-year study involving 28 MOR procedures yielded 94 harvested organs, with 88 transplanted across Europe.

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  • Successful transplantation rates were high: 47/49 kidneys, 19/23 hearts, and 9/16 livers remain functional.
  • Prioritizing heart retrieval and in situ cooling for liver and kidneys ensured organ quality.

    • Impact:

    • Recommends considering all brain-dead patients as potential multiple organ donors, not solely kidney donors.
    • Highlights the critical role of local coordinators in recipient identification and logistical organization.
    • Underscores the complexity of MOR, requiring meticulous planning and synchronized surgical execution for optimal outcomes.