Renal Transplantation and Outcome: Does Time of Surgery Matter?
Emergency surgery represents an independent risk factor for death and postoperative complications. The aim of this study was to investigate the literature data regarding outcome of daytime or nighttime renal transplantation surgery. Relevant papers, focused on renal transplantation surgery, time of the day, and complications, were searched across the PubMed database. We used the following search terms: "renal", "transplantation", "surgery", "daytime", "nighttime", and "outcome". A total of five papers, including 6,991 adult patients were evaluated. All patients received renal transplantation from deceased donor. Daytime or...
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Manfredini, R., Gallerani, M., De Giorgi, A., Tiseo, R., Lamberti, N., Manfredini, F., Forcellini, S., Storari, A., La Manna, G., Fabbian, F. Tags: Brief Communication Source Type: research
Fatal Graft-Versus-Host Disease Following Adult-To-Adult Living Donor Liver Transplantation From an HLA Nonhomozygous Donor
The use of a human leukocyte antigen (HLA) homozygous donor to a haploidentical recipient is a well-documented cause of transfusion-associated graft-versus-host disease (GVHD). Several authors have reported that use of a graft from an HLA-homozygous donor with 1-way donor-recipient HLA matching led to an extremely high risk of developing GVHD in LDLT. We have experienced a fatal case of acute GVHD following adult-to-adult LDLT from a donor who was heterozygous at a single HLA locus. A 53-year-old female underwent LDLT for chronic hepatitis B and recurrent hepatocellular carcinoma. The donor was her 23-year-old son. The HLA...
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Yu, Y.-D., Kim, D.-S., Ha, N., Jung, S.-W., Han, J.-H., Kim, J.-Y., Park, S.-H., Cho, Y.-J. Tags: Brief Communication Source Type: research
Having a Healthy Birth With a 100-Year-Old Liver
In March 2008, a 19-year-old woman required emergency liver transplantation due to acute-on-chronic liver failure. No living donor candidate was available. A marginal deceased liver that had been rejected by all the other centers was offered. The liver belonged to a 93-year-old woman and contained a hydatid cyst. Because of low donation rates in our country, we chose to accept the 93-year-old liver. The postoperative early and late courses were fortunately uneventful. Five years after transplantation, the woman became pregnant and gave birth to a healthy female baby. Today, the ages of the baby, mother, and the transplante...
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Tolan, K., Kayaalp, C., Ispir, M., Kirmizi, S., Yilmaz, S. Tags: Case Reports Source Type: research
Osteoporosis in Pediatric Liver Transplantation
We present a case of a 13-year-old female patient who underwent an orthotopic liver transplant for cryptogenic liver cirrhosis. Her immunosuppressants were tacrolimus and prednisone. Four months posttransplant, she started complaining of bilateral lower limb pain and limping while walking, progressing to a point where she was almost immobile. Magnetic resonance imagining of the pelvis showed bilateral avascular necrosis involving the weight-bearing surfaces of both femoral heads, in addition to the extensive edema involving both hip joints. Bone mineral densitometry was below normal for her age at the hip and forearm. She ...
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Faraj, W., El Nounou, G., Abou Al Naaj, A., Nakhoul, N., Haydar, A., Khalife, M. Tags: Case Reports Source Type: research
A Solid Mass in the Chest Wall: An Unusual Presentation of Posttransplant Lymphoproliferative Disorder in a Renal Transplant Recipient
We report a 42-year-old woman who had undergone deceased donor renal transplantation with an unusual presentation of PTLD. The immunosuppressive treatment was discontinued and appropriate chemotherapy was started. However, the patient died despite this treatment. Different presentations of PTLD in transplant patients should also be kept in mind. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Alagoz, S., Yalin, S. F., Gulcicek, S., Ozgur, N., Altiparmak, M. R., Seyahi, N. Tags: Case Reports Source Type: research
An Integrative Literature Review of Physical Activity Recommendations for Adult Renal Transplant Recipients
Conclusion:
Further research is recommended to design age-appropriate physical activity interventions among this aging population living with a chronic condition known to have a high prevalence of obesity and cardiovascular disease. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: OBrien, T., Hathaway, D. Tags: Systematic Reviews Source Type: research
Contribution by Departments of Forensic Medicine to Tissue Donation for Transplant Purposes
Conclusion:
Nineteen percent of all tissues distributed for transplantation came from donors in DFMs. The cooperation between DFMs and TEs was described as well functioning and excellent. Education and national courses in tissue procurement for employees in DFMs are contributing factors to such positive interactions. The support from the National Board of Forensic Medicine is an important factor for sustainable progress. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Malm, T., Sandgren Akerman, A., Greby, J., Odö, B., Henriksson, B.-A. Tags: Procurement Practice Issues Source Type: research
Increasing Donation Opportunities for Vascularized Composite Allografts: An Analysis of Worldwide Donor Registries and Procurement Organization Web Content (VOLAR Study)
There are 40 vascularized composite allotransplant programs across 5 continents served by 31 organ procurement organizations (or equivalent). The organizations’ websites inform about organ and tissue donation. This research explored worldwide educational efforts on vascularized composite allograft (VCAG) donation via their corporate websites as well as options within donor registries and donor card systems to indicate a VCAG donation preference. Of these, 13 (41.9%) of 31 had VCAG content and 7 (22.6%) of 31 offered a mechanism for individuals to voice a preference about VCAG donation through an opt in donor registry...
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Bramstedt, K. A. Tags: Procurement Practice Issues Source Type: research
The Short-Term Impact of Dietary Counseling on Sodium Intake and Blood Pressure in Renal Allograft Recipients
Conclusion:
Dietary counseling showed a short-term efficacy of reducing sodium intake and clinically relevant BP improvement in renal allograft recipients. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Asai, K., Kobayashi, T., Miyata, H., Tanaka, Y., Okada, Y., Sakai, K., Negoro, H., Kamba, T., Tsuji, H., Shide, K., Yanagita, M., Inagaki, N., Ogawa, O. Tags: Clinical Transplant Practice Issues Source Type: research
Risk Factors for Graft Loss in Pediatric Renal Transplant Recipients After Transfer of Care
Conclusion:
These individuals are at risk for graft loss after transfer of care and may benefit from increased personalized care during this risky period. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Coyne, B., Hollen, P. J., Yan, G., Brayman, K. Tags: Research Source Type: research
Role of Sorafenib in Patients With Recurrent Hepatocellular Carcinoma After Liver Transplantation
Conclusion:
Sorafenib improves survival and is superior to the BSC in cases of untreatable posttransplant hepatocellular carcinoma recurrence. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: deAngelis, N., Landi, F., Nencioni, M., Palen, A., Lahat, E., Salloum, C., Compagnon, P., Lim, C., Costentin, C., Calderaro, J., Luciani, A., Feray, C., Azoulay, D. Tags: Research Source Type: research
Initial Poor Function and Primary Nonfunction in Deceased-Donor Orthotopic Liver Transplantation Maintaining Short Cold Ischemic Time: What Is the Influence of Poor Donor Maintenance? Notes From a Single Indian Center
Conclusion:
Poor donor maintenance as evidenced by donor acidosis and graft macrosteatosis had significant impact in developing IPF when CIT is kept short. Similar study with larger sample size is required to establish extended criteria cutoff values. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Das, S., Swain, S. K., Addala, P. K., Balasubramaniam, R., Gopakumar, C. V., Zirpe, D., Renganathan, K., Kollu, H., Patel, D., Vibhute, B. B., Rao, P. S., Krishnan, E., Gopasetty, M., Khakhar, A. K., Vaidya, A., Ramamurthy, A. Tags: Research Source Type: research
Vitamin D Treatment Effect on Serum Endocan and High-Sensitivity C-Reactive Protein Levels in Renal Transplant Patients
Conclusion:
This study has revealed that vitamin D treatment reduced markers of endothelial dysfunction in patients with renal transplantation and vitamin D deficiency. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Atis, O., Keles, M., Cankaya, E., Dogan, H., Aksoy, H., Akcay, F. Tags: Research Source Type: research
Interviews With Patients Who Traveled From Macedonia/Kosovo, The Netherlands, and Sweden for Paid Kidney Transplantations
Conclusion:
Research should include interviews with brokers, transplant professionals, and other facilitators to achieve a full picture of illegally performed transplantations. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: van Balen, L. J., Ambagtsheer, F., Ivanovski, N., Weimar, W. Tags: Research Source Type: research
The Health-Care Providers Perspective of Education Before Kidney Transplantation
Conclusion:
Health-care providers identified gaps in patient understanding indicating that transplant candidates may not be internalizing what is taught. Innovative educational approaches may be needed to provide more successful patient education. Similarities between health-care provider and patient perceptions suggest that care providers are a valuable source of information. (Source: Progress in Transplantation)
Source: Progress in Transplantation - November 20, 2016 Category: Transplant Surgery Authors: Trivedi, P., Rosaasen, N., Mansell, H. Tags: Research Source Type: research
