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Surgical Clinics of North America

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https://www.readbyqxmd.com/read/30471745/transplant-2018
#1
EDITORIAL
Ronald F Martin
No abstract text is available yet for this article.
February 2019: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30471744/pancreas-transplantation-indications-techniques-and-outcomes
#2
REVIEW
Mariya L Samoylova, Deeplaxmi Borle, Kadiyala V Ravindra
Pancreas transplantation treats insulin-dependent diabetes with or without concurrent end-stage renal disease. Pancreas transplantation increases survival versus no transplant, increases survival when performed as simultaneous pancreas-kidney versus deceased-donor kidney alone, and improves quality of life. Careful donor and recipient selection are paramount to good outcomes. Several technical variations exist for implantation: portal versus systemic vascular drainage and jejunal versus duodenal versus bladder exocrine drainage...
February 2019: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30471743/pediatric-abdominal-organ-transplantation
#3
REVIEW
Christine S Hwang, Malcolm Macconmara, Dev M Desai
Pediatric liver and kidney transplantation have become the standard and accepted treatment for children with end-stage renal and liver disease. Since the first successful kidney transplant in 1954 by Dr Joseph Murray and the first liver transplant by Dr Thomas Starzl, the scope of indications for visceral organ transplantation as well as the range of recipient and donor ages has expanded. The first pediatric liver and kidney transplants, simultaneous multivisceral transplants, living-donor and donation-after-cardiac-death organs have evolved rapidly into the standard of care for end-stage renal and liver failure in children...
February 2019: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30471742/liver-transplantation-patient-selection-perioperative-surgical-issues-and-expected-outcomes
#4
REVIEW
Erin Maynard
Liver transplant rates are at an all-time high, with nearly 8000 liver transplants in 2015. Despite the increasing number of liver transplants performed per year, there is a widening gap of supply and demand on limited donor resources. Patient selection is a complex but necessary process to evaluate patients who will benefit from liver transplant while minimizing futile transplants. Efforts should also continue to focus on minimizing perioperative complications resulting in retransplantations and more targeted immunosuppression to minimize side effects and prolong patient survival...
February 2019: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30471741/posttransplant-malignancy
#5
REVIEW
Ana P Rossi, Christina L Klein
Posttransplant malignancy is a leading cause of death after solid organ transplantation (SOT). Recipients of SOT are at significantly higher risk of multiple cancers compared with the general population, most notably nonmelanoma skin cancer and posttransplant lymphoproliferative disorders. Risk factors for posttransplant malignancy include history of malignancy, immunosuppression, oncogenic viral infections, sun exposure, and disease-specific associations. Early detection and treatment of malignancies can improve survival...
February 2019: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30471740/living-kidney-donation-strategies-to-increase-the-donor-pool
#6
REVIEW
Lung-Yi Lee, Thomas A Pham, Marc L Melcher
End-stage renal disease (ESRD) is a significant health care burden. Although kidney transplantation is the optimal treatment modality, less than 25% of waiting list patients are transplanted because of organ shortage. Living kidney donation can lead to better recipient and graft survival and increase the number of donors. Not all ESRD patients have potential living donors, and not all living donors are a compatible match to recipients. Kidney paired exchanges allow incompatible pairs to identify compatible living donors for living donor kidney transplants for multiple recipients...
February 2019: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30471739/safe-living-following-solid-organ-transplantation
#7
REVIEW
Barbra M Blair
Living safely after organ transplantation starts before transplant and continues after transplant. To minimize a solid organ transplant (SOT) recipient's risk for infection and risk for injury, it is important to plan for numerous potential exposures after transplant. These include potential exposure to others with viral or bacterial illness, potential exposure to food and water sources, participation in recreational activities, resuming sexual activity, living with pets, and opportunities for travel, especially internationally...
February 2019: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30471738/composite-and-multivisceral-transplantation-nomenclature-surgical-techniques-current-practice-and-long-term-outcome
#8
REVIEW
Guilherme Costa, Neha Parekh, Mohammed Osman, Sherif Armanyous, Masato Fujiki, Kareem Abu-Elmagd
The successful development of multivisceral and composite visceral transplantation is among the milestones in the recent history of human organ transplantation. All types of gastrointestinal transplantation have evolved to be the standard of care for patients with gut failure and complex abdominal pathologic conditions. The outcome has markedly improved over the last 3 decades owing to technical innovation, novel immunosuppression, and better postoperative care. Recent data documented significant improvement in the long-term therapeutic indices of all types of visceral transplantation close to that achieved with thoracic and solid abdominal organs...
February 2019: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30471737/is-this-organ-donor-safe-donor-derived-infections-in-solid-organ-transplantation
#9
REVIEW
Staci A Fischer
Infection is an inevitable complication of solid organ transplantation. Unrecognized infection may be transmitted from a donor and result in disseminated disease in the immunosuppressed host. Recent outbreaks of deceased donor-derived infections resulting in high rates of mortality and severe morbidity have emphasized the need to be cautious in using donors with possible meningoencephalitis. Screening of organ donors for potential transmissible infections is paramount to improving transplantation outcomes.
February 2019: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30471736/small-bowel-transplantation
#10
REVIEW
Samuel Kesseli, Debra Sudan
Intestinal and multivisceral transplants are complex technical procedures that present unique challenges in the field of solid organ transplantation. This review aims to highlight the indications, techniques, outcomes, and complications specific to intestinal transplantation.
February 2019: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30471735/patient-selection-for-kidney-transplant
#11
REVIEW
Carlos E Marroquin
The incidence of end-stage renal disease has continued to increase. Similarly, the number of patients living with a functioning renal allograft has also increased. Transplantation has improved with advances in surgical techniques, immunosuppression, and better control of comorbid conditions. Transplantation is transformative and offers the greatest potential for restoring a healthy, productive, and durable life to appropriately selected patients. This article describes factors to address in selection of renal transplant candidates and discusses commonly encountered perioperative events...
February 2019: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30390861/foreword
#12
EDITORIAL
Ronald F Martin
No abstract text is available yet for this article.
December 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30390860/enhanced-recovery-after-surgery-and-future-directions
#13
REVIEW
Amit Merchea, David W Larson
Although the utilization of enhanced recovery after surgery (ERAS) pathways has become more prevalent, issues of compliance and implementation remain. Limiting the complexity of new ERAS protocols by maintaining the core elements of ERAS, along with the development of complementary protocols (prehabilitation, the perioperative surgical home, and telemedicine) may improve overall uptake and subsequent patient outcomes. The future directions of ERAS should be centered on improving the dissemination of the practice and ongoing expansion of patient care outside the immediate hospital period...
December 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30390859/enhanced-recovery-after-surgery-in-surgical-specialties-gynecologic-oncology
#14
REVIEW
Haller J Smith, Charles A Leath, John Michael Straughn
Many of the enhanced recovery after surgery principles initially developed for colorectal surgery can be successfully applied to gynecologic oncology and lead to significant improvements in perioperative care. Enhanced recovery after surgery guidelines specific to gynecologic oncology were published in 2016 and provide a framework for the development and implementation of institutional protocols. Identification of key stakeholders and a multidisciplinary approach are critical to identifying which principles are best suited for implementation at a particular institution and for ensuring success of the protocol...
December 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30390858/enhanced-recovery-after-surgery-urology
#15
REVIEW
Ava Saidian, Jeffrey Wells Nix
Enhanced recovery after surgery programs were developed as a type of standardized evidence-based perioperative care protocols. The necessity and benefit of clinical care pathways is not a new phenomenon in urology and have been a big part of the evolution of care for urology patients, especially in terms of urologic oncology. This article discusses the key components of evidence-based perioperative care in key urologic procedures. These protocols have been shown to decrease length of stay, decrease complications, and reduce cost...
December 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30390857/enhanced-recovery-after-surgery-hepatobiliary
#16
REVIEW
Heather A Lillemoe, Thomas A Aloia
Enhanced recovery after surgery (ERAS) pathways target specific areas within perioperative patient care in a multidisciplinary and evidence-based manner. Because of the subsequent positive outcomes associated with its use, ERAS has expanded to most surgical subspecialties, including hepatopancreatobiliary surgery. Although certain concepts are universal to all ERAS protocols, there are unique areas of emphasis pertaining to the hepatopancreatobiliary specialties, which will be highlighted throughout this article...
December 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30390856/enhanced-recovery-after-surgery-recent-developments-in-colorectal-surgery
#17
REVIEW
Jim P Tiernan, David Liska
Enhanced recovery after surgery (ERAS) has been established as a safe and effective tool for early recovery and discharge after colorectal resection. This article reviews the latest additions and refinements to ERAS protocols and also examines those interventions that seem to have limited clinical benefit for colorectal patients.
December 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30390855/enhanced-recovery-after-surgery-in-community-hospitals
#18
REVIEW
Amanda Hayman
Multidisciplinary collaboration and administrative support are essential to enhanced recovery program (ERP) success. The key tenets for ERP are opiate-sparing pain regimen, decreased fasting, and minimizing intravenous fluids. Getting buy-in from community surgeons may be difficult due to varied practice patterns and clinical fragmentation. Prospective tracking of ERP outcomes will allow for more targeted interventions.
December 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30390854/enhanced-recovery-after-surgery-and-surgical-disparities
#19
REVIEW
Isabel C Marques, Tyler S Wahl, Daniel I Chu
Surgical disparities exist. Certain surgical populations suffer from disproportionately worse access, care, and outcomes in surgery. Opportunities exist to better identify, understand, and reduce these disparities. Enhanced Recovery After Surgery (ERAS) pathways use standardized perioperative processes and a multidisciplinary philosophy to deliver best-evidence surgical care to all patients. As a result, ERAS provides a uniquely pragmatic model for improving outcomes and reducing disparities in vulnerable surgical populations...
December 2018: Surgical Clinics of North America
https://www.readbyqxmd.com/read/30390853/nursing-perspectives-on-enhanced-recovery-after-surgery
#20
REVIEW
Daran Brown, Anisa Xhaja
A growing body of evidence suggests that the implementation of an enhanced recovery after surgery (ERAS) clinical pathway can accelerate recovery and reduce length of stay through the use of a multimodal program that includes guidelines for optimal pain relief, stress reduction, early nutrition, and early mobilization. The article discusses the importance of the nursing body in improving institutional compliance to ERAS clinical pathway measures and describes specific nursing barriers observed in the ERAS implementation in an academic medical center...
December 2018: Surgical Clinics of North America
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