| Description |
1 online resource (xii, 178 pages) : illustrations (some color) |
| Contents |
Foreword; Preface; Contents; About the Editors; 1: The Evolution of Laparoscopic Donor Nephrectomy: Has It Now Become the Gold Standard?; 1.1 Introduction; 1.2 What Comprises a "Gold Standard" in Medicine?; 1.3 History of Donor Nephrectomy for Renal Transplantation; 1.4 Kidney Transplant Waiting Lists and the Push to Increase Organ Donation; 1.5 Laparoscopic Donor Nephrectomy Is Being Performed in the Vast Majority of Cases; 1.6 Has the Laparoscopic Technique Led to an Increase in the Number of Donors?; 1.7 What Are the Differences in Postoperative Graft Function Between LDN and ODN? |
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1.8 Are There Potential Added Risks/Drawbacks of LDN for Donors?1.9 What Are the Contraindications to LDN?; 1.10 How Has LDN Evolved Since Its Inception in the 1990s?; 1.11 Hand-Assisted LDN Versus Pure LDN Versus ODN?; 1.12 Robotic LDN Versus Pure LDN?; 1.13 What Is the Evidence that LDN Can Now Be Considered the "Gold Standard" for Live Kidney Donation?; 1.14 Cost of LDN Versus ODN; References; 2: Preoperative General and€Urologic Evaluation for€Laparoscopic Donor Nephrectomy; 2.1 Introduction; 2.2 Medical Evaluation Process; 2.3 Contraindications; 2.4 Radiologic Evaluation |
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2.5 Specific Medical Evaluations2.5.1 Age; 2.5.2 Obesity; 2.5.3 Hypertension; 2.5.4 Psychosocial Issues; 2.6 Specific Urologic Evaluations; 2.6.1 Choice of€Kidney; 2.6.2 Multiple Arteries; References; 3: Psychosocial and€Legal Issues with€Laparoscopic Donor Nephrectomy; 3.1 Introduction; 3.2 Psychosocial Issues; 3.2.1 Anxiety; 3.2.2 Mental Health Checklist and€Ability to€Donate Out€of€Free€Will; 3.2.3 Search for€the€Kidney Donor; 3.2.4 Decision to€Donate; 3.2.5 Motivational Status; 3.2.6 Ambivalence; 3.2.7 Family Dynamics and€Relationships; 3.2.8 Body Image |
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3.2.9 Marriage and€Kidney Donation3.2.10 Impact on€Employment, Finances; 3.2.11 Special Issues Like Childbearing; 3.2.12 Follow-Up; 3.3 Legal Issues; 3.3.1 Informed Consent Process; 3.3.2 The Human Organ Transplantation Act, 1994 (THOA-94); 3.4 Summary; References; 4: Anaesthesia Concerns for€Laparoscopic Donor Nephrectomy; 4.1 Introduction; 4.2 Preoperative Assessment of€Live-Related Kidney Donor; 4.3 Intraoperative effects of laparoscopic donor nephrectomy; 4.3.1 Physiological Effects Due€to€CO2 Pneumoperitoneum; 4.3.2 Patient Positioning; 4.4 Anaesthesia Management |
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4.4.1 Preoperative Anaesthetic Preparation4.4.2 Intraoperative Management; 4.4.2.1 Special Consideration for€Laparoscopic Donor Nephrectomy; 4.5 Postoperative Management; 4.5.1 Postoperative Analgesia; References; 5: Laparoscopic Left Donor Nephrectomy (Transperitoneal Approach); 5.1 Introduction; 5.2 The Armamentarium (Figure 5.1-Instruments Trolley); 5.3 Procedure- Step by Step; 5.3.1 Patient Positioning (Fig. 5.2); 5.3.2 Preplaced Incision (Fig. 5.3); 5.3.3 Operating Room Setup (Fig. 5.4); 5.3.4 Port Placement (Fig. 5.5); 5.3.5 The Bowel Reflection (Figs. 5.6a and b) |
| Summary |
This book explains the development of various laparoscopic donor nephrectomy (LDN) techniques, which can be performed via the retroperitoneal or the transperitoneal approach. It provides a step-by-step explanation of LDN, including details of intricacies such as port positioning, dissection steps, securing the hilum and retrieval. It also reviews new techniques like robotic donor nephrectomy and single-port donor nephrectomy. Lastly, it explores the non-technical but equally important issues of donor work-up and legal and social aspects. LDN is a unique surgical procedure in which the surgeon operates on an individual who is not a patient but someone donating out of altruistic motives, and it has to be ℓ́ℓzero errorℓ́ℓ for the safety of the graft, donor and the recipient. This handbook is a valuable resource for urologists, general and transplant surgeons as well as anesthesiologists and medical social workers working in the field |
| Notes |
Online resource; title from PDF title page (SpringerLink, viewed April 7, 2017) |
| Subject |
Kidneys -- Endoscopic surgery
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Kidneys -- Transplantation.
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Nephrectomy -- methods
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Kidney Transplantation
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MEDICAL -- Surgery -- General.
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Kidneys -- Transplantation
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| Form |
Electronic book
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| Author |
Desai, Mahesh (Mahesh R.), editor.
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Ganpule, Arvind P., editor
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| ISBN |
9789811028496 |
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9811028494 |
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9811028478 |
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9789811028472 |
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