Organ retrieval and preservation
The success of organ transplantation can be attributed to many factors but ultimately depends upon retrieval and preservation techniques to maintain the quality of an organ. Thoracic and abdominal organs from deceased donors are retrieved during a multi-organ procedure. The organs are flushed and cooled in situ with preservation solution followed by dissection and removal. With high-risk donors, such as donation after circulatory death, rapid in-situ cooling is essential to minimize the injury. Live kidney donation is becoming increasingly popular and the disincentives have been significantly reduce d by the introduction...
Source: Surgery (Medicine Publishing) - July 28, 2023 Category: Surgery Authors: Michael L. Nicholson, Sarah A. Hosgood Tags: Transplantation Source Type: research
Ethical and legal issues associated with organ donation and transplantation
Organ donation and transplantation has transformed the lives of many around the world. Despite its place as a treatment option for numerous forms of end-stage organ disease, the need for careful ethical and legal consideration is paramount. In this article we discuss three rules: the Dead Donor Rule, which underpins the use of organs for donation from deceased individuals; the ‘Rule of Consent’ which includes consideration of both deceased and living donors and the recipients of organs; and finally the ‘Fair Transplant Rule’, which offers protection from the challenging issues of exploitation and organ allocation f...
Source: Surgery (Medicine Publishing) - July 28, 2023 Category: Surgery Authors: Jennifer Lewis, Dale Gardiner Tags: Transplantation Source Type: research
Lung transplantation: state of the art and current practice
Lung transplantation remains the standard of care for selected patients with progressive respiratory failure with advanced chronic lung disease. In the late 1980s, early surgical pioneers of lung transplantation developed programmes which included the surgical techniques and patient management principles that remain in use today. Since then, development of technology and advancements in clinical care to support patients on the lung transplant waiting list, along with advances in immunosuppression, have led to increased numbers of lung transplants and improved recipient outcomes. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - July 28, 2023 Category: Surgery Authors: Anders S.I. Andreasson, John H. Dark Tags: Transplantation Source Type: research
Test yourself: MCQ and single best answer
For questions 1 –4, select the statements which are true. The correct answers are given below. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - July 28, 2023 Category: Surgery Authors: Adrian Ben Cresswell Tags: Test yourself Source Type: research
Modern immunosuppression
Organ transplantation provides both life-saving and life-enhancing function for patients suffering from end-stage organ failure. Transplantation has only been possible due to the advances in immunosuppression. The viability of a transplanted organ depends on modulation of the human immune system to avoid rejection in response to foreign antigens. Modern immunosuppression consists of multi-modal therapy (chemical drugs and biological agents) acting on different parts of the immune response. Three phases of immunosuppression can be recognized: induction, maintenance and withdrawal. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - July 28, 2023 Category: Surgery Authors: Balaji Mahendran, Rodrigo S. Figueiredo, Colin Wilson Tags: Transplantation Source Type: research
The nearly new curriculum and coming changes to access to the specialist register
The New surgical curriculum has been in place since August 2021, the biggest change in surgical training since 2007. The main changes have been that the curriculum is fully outcomes based: training can end when a person has reached the level of a day 1 consultant in the UK. Feedback to set goals and facilitate progression is also at the core of the new curriculum through the Multiple Consultant Report (MCR). The introduction of the MCR has been very successful with almost complete uptake. The trainee self assessment has also been well taken up, with good correlation between the trainee's own ratings and trainer's ratings. ...
Source: Surgery (Medicine Publishing) - July 20, 2023 Category: Surgery Authors: Jon Lund Tags: Professional development Source Type: research
Choosing the new normal for surgical education using alternative platforms
The traditional methods for surgical education and professional development are changing, from a variety of external factors. The COVID-19 pandemic accelerated the pace innovative alternative tools are introduced into clinical practice, creating a new normal for teaching and training. In this new normal is the challenge to create durable changes for the future of surgical education. Social media (SoMe), a tool that uses electronic communications and applications to allow users create and share information in dynamic ways, can meet this challenge. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - July 14, 2023 Category: Surgery Authors: Deborah S. Keller, Rebecca C. Grossman, Des C. Winter Tags: Professional development Source Type: research
Contents
(Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - July 1, 2023 Category: Surgery Source Type: research
Editorial Board
(Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - July 1, 2023 Category: Surgery Source Type: research
Surgical malpractice: staying out of trouble
This article discusses why surgeons get into trouble more than most other specialties. It explores some of the areas that are known to be associated with the highest risk of suspension and malpractice claims, including unacceptable professional behaviour, inadequate consent, documentation and peri-procedural precautions, the introduction of new procedures and devices without adequate training, lack of resources and support, whistleblowing, independent work in the private sector, and medicolegal work as an expert. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - July 1, 2023 Category: Surgery Authors: Jonathan D. Beard Tags: Professional development Source Type: research
Test yourself MCQ and single best answer
For questions 1 –4, select the statements which are true. The correct answers are given below. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 30, 2023 Category: Surgery Authors: Adrian Ben Cresswell Tags: TEST YOURSELF Source Type: research
How surgeons should behave on social media
This article documents the rise in popularity of social media use by surgeons for personal and professional use. It considers some of the important issues around privacy, patient confidentiality and professionalism and discusses some of the common pitfalls of using social media as a surgeon. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 22, 2023 Category: Surgery Authors: Janet WC. Kung, Stephen J. Wigmore Tags: Professional development Source Type: research
Research methods for the clinical surgeon
This article outlines some of the different research methods commonly used in clinical research, highlighting the basic features, appropriateness, benefits and limitations of each method. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 12, 2023 Category: Surgery Authors: Louise H. Hitchman, Ian C. Chetter Tags: Professional development Source Type: research
How to pass the national selection interview
This article outlines the authors' recommendations on how to navigate the current national selection process to achieve a higher surgical training post. The article breaks down the daunting task into manageable sections covering pre-application portfolio boosting activity, an explanation of the online application process, and hints and tips to prepare for the interview itself. We hope to provide an overview of this process and allay some fears that surround this challenging time for applicants. This article focuses on General and Vascular Surgery; however, the vast majority is applicable also to other surgical specialties....
Source: Surgery (Medicine Publishing) - June 12, 2023 Category: Surgery Authors: Emma Scott, Craig Nesbitt, Simon Jones, Hussein Elkashef Tags: Professional development Source Type: research
Getting it right first time: what have we learnt?
Getting It Right First Time (GIRFT) is a national programme of improvement to identify and reduce unwarranted variation and non-evidence-based practice in healthcare. It aims to improve patient care, increase productivity and reduce costs. Professor Tim Briggs, an orthopaedic surgeon, began the programme with a pilot review visiting every orthopaedic surgery department in England. He used publicly available data to illuminate variation, and worked with the clinicians and management to develop improvements. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - June 10, 2023 Category: Surgery Authors: Andrew N. Duncan, Rob Sayers Tags: Professional development Source Type: research
