Hand Transplantation

Tintle, Scott M.; Potter, Benjamin K.; Elliott, River M.; Levin, L. Scott

doi:10.2106/jbjs.rvw.m.00063

Cited by 15 publications

(13 citation statements)

References 59 publications

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“…As the field of VCA is elementary, proceeding with VCA in clinical practice and research has several ethical implications. As the regulatory guidance 15,17,44,45 on patient selection, qualifications of the surgical team, management of transplant failure and patient dissatisfaction is mostly derived from solid organ transplant literature; there is an urgent need to focus on factors that are unique to VCA. To elaborate, the patient-provider relationships in VCA are distinct and challenging as surgeons, patient, family and caregivers spend extensive time with each other due to the complexity and long-term risks of the procedure.…”

Section: Ethical Considerationsmentioning

confidence: 99%

<p>Public attitudes toward vascularized composite allograft donation: a literature review</p>

Kaur¹,

Thoma²

2019

TRRM

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Vascularized composite allotransplantation (VCA) is the transplantation of anatomical or functional structures composed of multiple types of tissues. The technical advancement of solid organ transplantation and replantation instigated the development of the skills required for successful VCA several years ago; however, the recent advancements in immunosuppression therapy have renewed the interest in this field. As VCAs are primarily life-enhancing procedures, the perception and attitudes of the general public (i.e. potential donors and candidates) and the health care professionals is extremely relevant in terms of health policy and funding decision allocations, availability of donor tissue and ethical and legal implications. In this article, we review the current evidence to assess the sociocultural and demographic factors that influence the growth and success of VCA procedures.

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Section: Ethical Considerationsmentioning

confidence: 99%

<p>Public attitudes toward vascularized composite allograft donation: a literature review</p>

Kaur¹,

Thoma²

2019

TRRM

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“…To address these issues, given that self‐referred patients are less likely to be appropriate candidates, the patient, referring physician, and transplant team must be in agreement that UET is consistent with the patient’s narrative and expectations to secure the best possible outcome. The future of the field depends on the continual refinement of indications based on reported evidence, honest disclosure to patients for well‐informed consent, and the need to proceed with “cautious optimism” …”

Section: Upper Extremity Transplantationmentioning

confidence: 99%

Innovations in reconstructive microsurgery: Reconstructive transplantation

Kollar

Tasigiorgos

Dorante

et al. 2018

Journal of Surgical Oncology

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In the past 20 years, reconstructive transplantation (RT) has emerged as a viable reconstructive option for carefully selected patients. More than 100 upper extremity and 40 face transplants have been performed worldwide to date. Concomitantly, the portfolio of reconstructive transplantation has been extended by additional procedures such as lower extremities, abdominal wall, neck, uterus, genitourinary, and pediatric transplants. In the present review article, we aim to summarize the current state of knowledge about this exciting field.

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“…Bu kriterlere göre; fonksiyonel, finansal ve sosyal açıdan yeterli deste¤i olmayan tek taraflı el nakil hastaları, do¤utan deformiteli olanlar ve pediatrik ampute grubu el nakil endikasyon grubundan çıkarılmıtır. [13] Organ nakli baarısı sadece medikal ve cerrahi tedaviye ba¤lı de¤ildir. Tedavinin baarısında hastanın devamlılı¤ı da oldukça önemlidir.…”

Section: Solid Organ Transplantation and Vascularized Composite Allotunclassified

Solid organ transplantation and vascularized composite allotransplantation: Past and present

Erçin¹

2017

FNG & Bilim Tıp Transplantasyon Dergisi

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There has not only been improvements in clinical aspects for vascularized composite allotransplantation, which is new and experimental compared to solid organ transplantation. In this review, we compiled the achievements obtained and the failures after clinical applications, accompanied with the explanations of experimental studies that are supposed to support them or solve their problems. Following these parallel experimental and clinical studies, recipient-donor criteria, rejection staging and rejection preventive treatments were researched as in solid organ transplantation and are still being investigated. In the last 20 years, clinical practices and studies have been very encouraging. While solid organ transplantation is the gold standard treatment for most patients with advanced organ failure, vascularized composite allotransplantation can be considered as a complementary option in cases where it is not possible to remedy the patients with their own tissues in patients with physical and psychosocial deficits after extremity loss. In this review, we examined the differences and similarities in terms of indications, side effects, rejection, patient and graft survival in vascular composite and solid organ allotransplantation, and their development in recent years.

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Hand Transplantation

Cited by 15 publications

References 59 publications

<p>Public attitudes toward vascularized composite allograft donation: a literature review</p>

<p>Public attitudes toward vascularized composite allograft donation: a literature review</p>

Innovations in reconstructive microsurgery: Reconstructive transplantation

Solid organ transplantation and vascularized composite allotransplantation: Past and present

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