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Doody's Review ServiceReviewer: Venkataraman Ramachandran, MD (Washington University School of Medicine)
Description: Acquisition of organs for transplantation from donors is the initial key step in the process of successful engraftment. There is great potential for damage to the organs from excessive delays, improper physiological handling, and less than meticulous surgical technique and preservation. The organ banks in the U.S. have gradually evolved strategies to optimize the process. This book is an excellent compilation of the current practices and principles.
Purpose: Although not stated, clearly the objective is to improve medical knowledge and set standards for multiorgan procurement and preservation.
Audience: The list of authors is a veritable "who's who" in transplantation circles and this is reflected in the quality of the text and its relevance to successful organization of transplant services. This book will be helpful to everyone involved in solid organ transplantation and is especially important in the planning and execution processes of an organ procurement agency. In the third world and in some well-developed countries (like Japan, where the definition of brain death has been delayed) the information presented here will provide for quick development of transplantation services in the most cost-effective manner.
Features: Part I details the procurement process starting from the need for careful planning and management for equitable distribution of transplantable organs. Business management principles are needed to identify areas of problems and points of potential intervention. These issues are well discussed. Separate chapters address legal, practical, ethical, and moral issues. The overview of the process is excellently laid out. The second part describes the individual organ harvest in meticulous detail, making this a valuable book for personnel already undertaking such activities. Non-controversial and well accepted practices are emphasized and current trends mentioned. Well illustrated line diagrams make the information in this part of the book easy to understand for those only occasionally involved.
Assessment: This book is essential and excellent reading for all transplant professionals.