Current Status of Clinical Organ Transplantation

MICHAEL F.A. WOODRUFF Emeritus Professor of Surgery, University of Edinburgh This book grew out of a very successful conference on Organ Transplantation held in Kuwait in December 1982. The material presented at the conference has been expanded and brought up to date, and the result is a well written and authoritative account of many aspects of organ transplantation by a distinguished team of contributors drawn from many countries. A unique feature of the book is the account it contains of the development of organ transplantation in the Middle East. Although, as yet, it has been virtually impossible in Islamic countries to take organs after death for use as transplants, it is beginning to look as if this situation may change. Meanwhile, using living volunteer donors and a small number of cadaveric organs sent from other countries, transplant teams in Kuwait and Turkey are obtaining results with kidney transplants which are as good, in terms of both transplant survival and patient survival, as those reported from acknowledged centres of excellence in the United States, Europe and other countries where organ transplantation has been established for many years.

Klappentext

Up-dated Papers from the First International Middle East Conference on Organ Transplantation Held in Kuwait in December 1982

Inhalt
One: Histocompatibility matching and the blood transfusion effect.- 1. High and low responsiveness in renal transplantation and its impact on HLA matching.- 2. HLA A and B matching, the mixed lymphocyte reaction and renal allograft survival in a single centre.- 3. The role of vascular endothelial cell antigens in renal transplantation.- 4. Blood transfusion(s) and cadaveric renal transplantation in the Netherlands.- Two: Immunosuppression and immunological monitoring.- 5. The development of immunosuppression.- 6. Antilymphocyte globulin infusion in the treatment of acute allograft rejection: a prospective study.- 7. Cyclosporin in renal transplantation: results of the Minnesota randomised trial.- 8. Antilymphocyte globulin and thoracic duct drainage in renal transplantation.- 9. Monitoring of organ allograft rejection by fine needle aspiration cytology.- Three: Donor procurement and organ preservation.- 10. Organ procurement and transportation.- 11. Procurement of kidneys from non heart beating donors.- 12. Donor age in cadaveric renal transplantation.- 13. Prolonged preservation of imported cadaveric grafts by ice cooling with Eurocollin's solution versus hypothermic pulsatile perfusion.- 14. A new approach to prolonged kidney preservation.- Four: Vascular access surgery in renal transplantation.- 15. The upper arm A. V. fistula for chronic haemodialysis: long term followup.- 16. Permanent vascular access for haemodialysis: the Kuwait experience.- Five: Renal transplantation.- 17. Current status of renal transplantation.- 18. The living donor for kidney transplantation: a review of 100 consecutive donors.- 19. Kidney transplantation in diabetic recipients: factors leading to improved results.- 20. Fungal infections in 135 renal transplantations.- 21. Bilateral renaltransplantation: effect on pelvic hemodynamics and sexual function in male patients.- Six: Renal transplantation and dialysis in the Middle East.- 22. Renal replacement therapy in Kuwait.- 23. The development of renal transplantation programme in Kuwait and the results in the first 142 grafts.- 24. Living related kidney transplantation in Turkey.- Seven: Pancreas transplantation.- 25. Clinical pancreas and islet transplantation: registry statistics and an overview.- 26. Pancreas transplantation in Lyon 19761983.- 27. Pancreas transplantation at the University of Minnesota: experience with 68 recent cases.- Eight: Heart and heart-lung transplantation.- 28. Cardiac transplantation.- 29. Heart-lung transplantation.- 30. Immunosuppressive therapy for cardiac transplantation.- Nine: Liver transplantation.- 31. Current status of liver transplantation.- Ten: Bone marrow transplantation.- 32. Current status of bone marrow transplantation.- Eleven: Recent advances in renal surgery.- 33. Renal autotransplantation and extracorporeal renal surgery.- 34. Hypothermic in situ perfusion and surface cooling in renal surgery.- 35. Extracorporeal shock wave lithotripsy: a new aspect in the treatment of kidney stones.