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Total abdominal wall transplantation for complex transplant cases -- experts outline technique

For patients undergoing intestinal or multi-organ transplantation, closing the abdominal wall poses a difficult surgical challenge. Total abdominal wall transplantation provides an alternative for abdominal closure in these complex cases, according to a state-of-the-art approach presented in Plastic and Reconstructive Surgery.

SourceWolters Kluwer Health·JournalPlastic & Reconstructive Surgery·DateMay 26, 2017

Penn researchers discover test for earlier detection of transplant rejection

Researchers at the University of Pennsylvania have discovered a method to detect organ transplant rejection earlier, using a blood-based approach that targets 'transplant exosomes.' This new strategy may enable doctors to intervene sooner and reduce the risk of long-term side effects from immunosuppressive drugs.

SourceUniversity of Pennsylvania School of Medicine·JournalJournal of Clinical Investigation·DateMar 20, 2017

How Spain achieved a remarkably high rate of deceased organ donation

The Spanish system has made organ donation a routine consideration when a patient dies, with professionals exploring patients' wishes regarding organ donation. The model's success lies in its coordination and organization, making it applicable to other countries with adaptations depending on the healthcare system and factors.

SourceWiley·JournalAmerican Journal of Transplantation·DateJan 9, 2017

Are promises made to living donors being upheld?

A new study found that some living kidney donors are not given prompt access to transplantation when they need a transplant. The study examined data from the Organ Procurement and Transplantation Network (OPTN) and found that only 40-50 prior living donors are added to the kidney waiting list each year.

SourceAmerican Society of Nephrology·JournalClinical Journal of the American Society of Nephrology·DateSep 1, 2016

Discovery could provide new prevention, treatment option for organ transplant rejection

A recent study published in Nature Communications found that eliminating dendritic cells from transplanted organs can prolong transplant survival by reducing T cell proliferation. This breakthrough could lead to new methods for preventing or treating organ transplant rejection without compromising the patient's immune defenses.

Brazil faces major challenges in liver transplantation

Brazil performs more liver transplant surgeries than Latin America and globally ranks third in absolute terms. However, the country's increasing population and inadequate donor organ supply lead to only 5-10 liver transplants per million population annually.

SourceWiley·JournalLiver Transplantation·DateAug 1, 2016

Mayo clinic: Long-term benefits to the liver-kidney transplant

A new study from Mayo Clinic found that patients with high and low levels of donor-specific alloantibodies who received simultaneous liver-kidney transplants showed a lower incidence of cellular and antibody-mediated rejection, chronic injury to the kidney, and better overall kidney function compared to those who received a kidney tran...

SourceMayo Clinic·JournalKidney International·DateApr 15, 2016

Biomarkers can help guide immune-suppressing treatment after organ transplantation

Researchers have identified promising biomarkers to monitor immunosuppressive drug therapy in organ transplant recipients, with the potential for individualized treatment to reduce rejection and minimize side effects. A panel of experts recommends a preliminary set of tests for use in biomarker-based immunosuppressive drug management.

SourceWolters Kluwer Health·JournalTherapeutic Drug Monitoring·DateMar 16, 2016

National underutilization of preemptive and early kidney transplants

A new study by Mayo Clinic reveals that only one-third of patients receive preemptive or early living donor kidney transplants, despite research suggesting improved patient outcomes. The study highlights the need for education and access to information about living donor kidney transplantation to improve long-term outcomes.

SourceMayo Clinic·JournalAmerican Journal of Transplantation·DateFeb 8, 2016

Study: Burnout impacts transplant nurses

A recent study by Henry Ford Hospital found that over half of transplant nurses in the US suffer from emotional exhaustion and low personal accomplishment. The researchers suggest that organizations must create environments that nurture both patients and caregivers to prevent burnout.

SourceHenry Ford Health·JournalProgress in Transplantation·DateOct 6, 2015

International team of researchers co-led by Penn aims to revolutionize understanding of how gene variants affect organ transplant outcomes

A large international team of researchers is investigating the genetic factors behind transplant successes and failures. The project, iGeneTRAiN, has generated genomics data for over 32,000 organ donors and recipients, aiming to discover genetic variants that lead to rejection and other complications.

Antibodies in the blood provide clues to transplant recipients' likelihood of rejection

Study finds that certain IgG3 and IgG4 donor-specific HLA antibodies correlate with distinct patterns of antibody-mediated injury to transplanted organs. Patients with mostly IgG3 antibodies have a higher likelihood of organ rejection soon after transplantation, while those with mostly IgG4 antibodies experience delayed rejection.

SourceAmerican Society of Nephrology·JournalJournal of the American Society of Nephrology·DateAug 20, 2015

Portable finger-probe device can successfully measure liver function in potential organ donors

Researchers at UCLA successfully tested a portable finger-probe device on 53 potential organ donors, predicting which livers would function properly after transplantation. The device could increase the number of organs used for transplant and save patients waiting for transplants from dying.

SourceUniversity of California - Los Angeles Health Sciences·JournalJournal of Surgical Research·DateMay 28, 2015

Ethicists propose solution for US organ shortage crisis in JAMA piece

Medical ethicists propose a solution to the US organ shortage crisis by introducing an 'uncontrolled donation after circulatory determination of death' (UDCDD) approach. This method considers deceased individuals for donation even outside hospitals, allowing families to decide later if they want to preserve organs for potential donation.

Innovative strategies needed to address the US transplant organ shortage

The US transplant organ shortage continues to grow, with thousands on waiting lists for 5 years or more. Medical leaders propose removing financial disincentives and exploring incentives like health insurance post-donation to ensure donor safety. However, there is ongoing debate about the ethics of introducing financial payments.

SourceWiley·JournalAmerican Journal of Transplantation·DateMar 31, 2015

Study shows even injured kidneys can be used for transplants

A Yale-led study found that donated kidneys with acute injury are associated with delayed graft function but not poor long-term transplant outcomes. The research suggests that injured kidneys could be used for transplants, potentially increasing the number of available organs and improving survival rates for patients on dialysis.

SourceYale University·JournalAmerican Journal of Transplantation·DateMar 11, 2015

US policy that gives priority to prior organ donors who need a transplant is working

A US policy giving priority to prior organ donors has been shown to significantly reduce waiting times and improve the quality of organs received. Living donors who later need a transplant experience much shorter waits and receive higher-quality kidneys compared to those on the waiting list without donation history.

SourceAmerican Society of Nephrology·JournalJournal of the American Society of Nephrology·DateNov 20, 2014

Living liver donors ambivalent with donation

A new study found that living liver donor candidates often experience ambivalence regarding donation, which is linked to physical, psychosocial, and financial concerns. Providing social support can help mitigate these concerns and reduce ambivalence among living liver donors.

SourceWiley·JournalLiver Transplantation·DateSep 10, 2014