Logistics and strategy of multiorgan procurement involving total face allograft

J. Bueno*, J. P. Barret, J. Serracanta, A. Arnõ, J. M. Collado, C. Valles, M. J. Colominas, Y. Diez, T. Pont, P. Salamero, V. Martinez-Ibañez

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

28 Citations (Scopus)

Abstract

The face is the latest body structure to be added to the field of transplantation and the learning curve is ongoing. In the scenario of multiorgan recovery, the face is a nonvital 'organ' structure compared with other life-saving organs. To date, the face has been the first 'organ' to be procured in a multiorgan procurement. A technique for simultaneous recovery of the whole face, heart, lungs, liver, pancreas and kidneys is described. Thirty professionals participated in the procedure, of whom 13 were surgeons. No tracheotomy was performed. A mask of the donor's face was made from a mold impression. Duration of the procedure from skin incision to the end of surgery was 7.3 h. The face was perfused with Wisconsin solution through a cannula inserted into the aortic arch between the origin of the brachiocephalic arterial trunk and the left subclavian artery. Blood requirements consisted of 4 units of packed red blood cells. After the procedure, the mask was placed on the donor's face. All recovered grafts functioned immediately. In summary, simultaneous multiorgan procurement including the whole face is feasible, effective and saves time without jeopardizing life-saving organs and without the need for tracheotomy. The authors describe a technique for simultaneous multi-organ procurement including the whole face without jeopardizing life-saving organs and without the need for tracheotomy.

Original languageAmerican English
Pages (from-to)1091-1097
Number of pages7
JournalAmerican Journal of Transplantation
Volume11
Issue number5
DOIs
Publication statusPublished - May 2011

Keywords

  • Face transplantation
  • multiorgan donor
  • procurement
  • surgical technique

Fingerprint Dive into the research topics of 'Logistics and strategy of multiorgan procurement involving total face allograft'. Together they form a unique fingerprint.

Cite this