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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
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Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...

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Heterotopic Cervical Heart Transplantation in Mice
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The Rise, Fall, and Laser Resurrection of the "Snake Heart" Operation.

David S Jones1

  • 1Harvard University, Cambridge, MA, USA.

Journal of the History of Medicine and Allied Sciences
|April 28, 2026
PubMed
Summary

Pioneering surgeon P.K. Sen

Area of Science:

  • Cardiovascular Surgery
  • Surgical Innovation
  • History of Medicine

Background:

  • Coronary artery disease treatment.
  • P.K. Sen's "snake heart" procedure (transmyocardial acupuncture) proposed in 1964.
  • Initial global adoption followed by decline due to critique and competition.

Purpose of the Study:

  • To analyze the trajectory of Sen's "snake heart" procedure.
  • To explore factors influencing surgical innovation and adoption.
  • To examine the role of technology and scientific travel in medical practice.

Main Methods:

  • Historical case study analysis.
  • Examination of surgical innovation sources.
  • Analysis of science dissemination and adoption factors.
Keywords:
American surgeryIndiaacupuncturecardiac surgerycoronary artery diseaselaserrationale

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Main Results:

  • Sen's procedure gained international traction despite limited evidence.
  • Revival in the 1970s linked to laser technology, not improved rationale.
  • Surgical enthusiasm driven by new tools and perceived therapeutic potential.

Conclusions:

  • Surgical innovation stems from diverse sources, including technological advancements.
  • The spread of medical science is influenced by global connectivity and training.
  • Therapeutic efficacy judgments can be subjective, influenced by physiological imagination and enthusiasm for new tools.