Comments on: The process of organ procurement: Liver – the warm dissection http://forsurgeons.net/transplant-surgery/the-process-of-organ-procurement-liver-the-warm-dissection surgery blog for surgeons Tue, 22 Mar 2011 12:31:14 -0700 http://wordpress.org/?v=2.8.1 hourly 1 By: Ivo Mitsiev http://forsurgeons.net/transplant-surgery/the-process-of-organ-procurement-liver-the-warm-dissection/comment-page-1#comment-62 Ivo Mitsiev Fri, 21 Jan 2011 19:50:55 +0000 http://forsurgeons.net/?p=53#comment-62 Thank you for your comment! There are multiple techniques for organ procurement and I believe that every procuring surgeon makes something different. It is e.g. the experience of many transplant surgeons that prolonged cold ischemia time should be generally avoided and this also by reducing the cold dissection during organ procurement. The liver/pancreas division is only a matter of preference if it should be performed in-situ or on the back table. I have never witnessed any kind of liver dysfunction which I could relate to any kind of dissection during the procurement surgery. Thank you for your comment!

There are multiple techniques for organ procurement and I believe that every procuring surgeon makes something different.
It is e.g. the experience of many transplant surgeons that prolonged cold ischemia time should be generally avoided and this also by reducing the cold dissection during organ procurement.
The liver/pancreas division is only a matter of preference if it should be performed in-situ or on the back table.

I have never witnessed any kind of liver dysfunction which I could relate to any kind of dissection during the procurement surgery.

]]> By: nose huggie http://forsurgeons.net/transplant-surgery/the-process-of-organ-procurement-liver-the-warm-dissection/comment-page-1#comment-60 nose huggie Sat, 08 Jan 2011 21:02:18 +0000 http://forsurgeons.net/?p=53#comment-60 It is our experience that warm dissection in the porta hepatis as well as extensive organ mobilization during combined pancreas-liver procurements may cause posttransplant dysfunction of the liver. To avoid this, we recently utilized a rapid en bloc procurement technique with minimal warm dissection and division of the liver and pancreas ex vivo It is our experience that warm dissection in the porta hepatis as well as extensive organ mobilization during combined pancreas-liver procurements may cause posttransplant dysfunction of the liver. To avoid this, we recently utilized a rapid en bloc procurement technique with minimal warm dissection and division of the liver and pancreas ex vivo

]]> By: Ivo Mitsiev http://forsurgeons.net/transplant-surgery/the-process-of-organ-procurement-liver-the-warm-dissection/comment-page-1#comment-43 Ivo Mitsiev Tue, 12 Jan 2010 00:41:55 +0000 http://forsurgeons.net/?p=53#comment-43 Alger: Thank you very much for your comment! You (should) know that a significant portion of this particular knowledge I have gained because of you! You probably recognize situations and comments in this text, that we both discussed while I tried to learn from your experience. I will not forget your support and manner of teaching which helped me a lot especially in the hard initial time. Thank you so much! Keep up your great work, my friend! :) Alger:
Thank you very much for your comment!
You (should) know that a significant portion of this particular knowledge I have gained because of you! You probably recognize situations and comments in this text, that we both discussed while I tried to learn from your experience.
I will not forget your support and manner of teaching which helped me a lot especially in the hard initial time. Thank you so much!
Keep up your great work, my friend! :)

]]> By: alger http://forsurgeons.net/transplant-surgery/the-process-of-organ-procurement-liver-the-warm-dissection/comment-page-1#comment-42 alger Tue, 12 Jan 2010 00:27:36 +0000 http://forsurgeons.net/?p=53#comment-42 Ivo: Found your website surfing for some information, want to complement you on a great job!! Ivo:
Found your website surfing for some information, want to complement you on a great job!!

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