Logo Annals of Transplantation Logo Annals of Transplantation Logo Annals of Transplantation

21 May 2009

The family transplant of liver the challenge for the operating nurses’ teamof liver the challenge for the operating nurses’ team

J Jagoda, J Piekutowska, A Rębalska

Ann Transplant 2009; 14(1): 79-80 :: ID: 880492


Taking into account that there is a shortage of organs for transplantation, the family transplants make up the alternative for transplanting the organs.
Transplanting the liver from the family donor is often the only way to salvage their own child's life. The decision of giving the part of one's own organ is the largest gift of life. On the other side there exists the doubt to the quality of the living donor's life. The qualifi cation of the family donor of liver is a stepwise process and it concerns: the giver's voluntary declaration after introduction of principles of family transplants, the risk for donor and the prognosis for recipient, and also the law for transplanting the organs. It involves tests of immunological compatibility of the potential donor's with the recipient, investigation of the donor's psychological profile and his social situation. The next stage is the information about the actual state of health, efficiency of the liver and different organs, infectious diseases in the past, invasive investigations defining the size and the anatomical conditions of the vessels of liver's donor. If results of these investigations are positive, the final qualification or the disqualification of potential related donor of liver is undertaken. The transplantation of segments of the liver to the child (the recipient) taken from family giver is preceded by the removal of the sick liver leaving in the whole inferior vena cava, because the graft does not possess it. In Children's Memorial Health Institute was conducted the first family transplant of the liver in 12.10.1999 in cooperation with the Department of General Surgery and the Liver Diseases of the Medical University of Warsaw. This Co-operation has brought to realization 143 family transplants of liver. Children's Memorial Health Institute is the only centre n Poland performing family transplants of liver in children. By these 10 years the organization of work of operating nurses' team taking the part in family transplants of liver changed due to the progress and the development of operating techniques, huge quantity of new and sophisticated medical equipment, new haemostatic materials as well as introduced standards and required medical procedures and indispensable trainings, the concentration on indicted tasks. The operating theatre of Children's Memorial Health Institute is a multiple room, with difficult cardiosurgery interventions, neurosurgery, surgical, urological as well as ophthalmology. Every one of these fields requires large knowledge as well as skill from the assisting intervention nurses. Such diversity gives large possibilities of development, but states also a huge challenge for the nursing team.

Keywords: The family transplant of liver the challenge for the operating nurses’ team


In Press

06 May 2022 : Original article  

Phosphatidylethanol (PEth) for Monitoring Sobriety in Liver Transplant Candidates: Preliminary Results of D...

Ann Transplant In Press; DOI: 10.12659/AOT.936293  

27 Apr 2022 : Review article  

A Systematic Review of the Literature on Chronic Kidney Disease Following Liver Transplantation

Ann Transplant In Press; DOI: 10.12659/AOT.935170  

Most Viewed Current Articles

31 Dec 1969 : Original article  

Efficacy and Safety of Tacrolimus-Based Maintenance Regimens in De Novo Kidney Transplant Recipients: A Sys...

DOI :10.12659/AOT.933588

Ann Transplant 2021; 26:e933588

31 Dec 1969 : Review article  

Recurrence of Hepatocellular Carcinoma After Liver Transplantation: Risk Factors and Predictive Models

DOI :10.12659/AOT.934924

Ann Transplant 2022; 27:e934924

31 Dec 1969 : Review article  

Kidney Transplantation in the Times of COVID-19 – A Literature Review

DOI :10.12659/AOT.925755

Ann Transplant 2020; 25:e925755

31 Dec 1969 : Case report  

Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...

DOI :10.12659/AOT.935860

Ann Transplant 2022; 27:e935860

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358