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Updated: Sep 26, 2025

Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation
Published on: July 18, 2025
Four-Quadrant Approach Squared: Ethical Analysis of Living Donation in Vascularized Composite Allotransplantation
Maureen Beederman1, Chad M Teven1, Lawrence J Gottlieb1
1From the Section of Plastic and Reconstructive Surgery, University of Chicago; and Division of Plastic and Reconstructive Surgery, Mayo Clinic.
Summary:
Vascularized composite allotransplantation has become a widely accepted method for reconstruction or restoration of body parts, and the various ethical dilemmas that accompany vascularized composite allotransplantation have been widely discussed. As advancements in immunosuppression and tolerance continue to be made, the concept of living donor vascularized composite allotransplantation will likely become a popular option of the "reconstructive elevator." In this article, the authors discuss the various ethical implications of living donor vascularized composite allotransplantation.
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