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2013, Number 3

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Rev Med MD 2013; 4.5 (3)

Organ and tissue donation, initial experience in a second level attention hospital

Rojas-Hernández G, Medina JL, Lemus C, Belio F, Salinas A, Alcantar M, Morales L, Martínez R
Full text How to cite this article

Language: Spanish
References: 12
Page: 159-162
PDF size: 529.86 Kb.


Key words:

organ and tissue donation, deceased donor.

ABSTRACT

Introduction The transplanting of organs and tissue are nowadays a unique life hope for some patients suffering a terminal condition. Since the creation of the National Board of Transplants in 1999 the donation in Mexico has been increasing.
Material and methods A prospective longitudinal study made in the Transplant Unit of the Hospital Regional No. 1 of the Instituto Mexicano del Seguro Social in Michoacan. The medical records of patients diagnosed with brain death subjected to an organ and tissue procurement during the period of September 2004 to Julio 2010 were analyzed. The following variables were analyzed: Age, gender, blood type, cause of death, type of case and organs procured.
Results 72 organs and tissue from 18 donations, the average age was 24.7 (range 5 months – 57 yrs old), the gender was 9 male (50%) and 9 female (50%). The blood type and Rh were distributed in A+, six; B+, 1; O+, 11. The cause of death were 14 by traumatic brain injury, 1 case of brain anoxia secondary to cardiac respiratory arrest and 3 cases of carebrovascular disease. 14 cases of the donations were medical legal cases. The following organs were procured: A heart, 11 livers, a pancreas, 26 kidneys and 32 corneas.
Conclusions Organ procurement from deceased donors has increased in the late years, but it remains insufficient to cover the demand of organs in patients suffering an illness in terminal stage. In our program of renal and cornea transplanting it is included too, the detection of possible donors. However, the waiting records continue increasing in every hospital. The results we have obtained, though lacking, encourage reflection to keep on working continuously.


REFERENCES

  1. 1.- James A. Schulak, What´s new in general surgery: Transplantation, Journal of the American College of Surgeons 2005;200(3):409-417.

  2. 2.- Wolfe R, Ashby V, Milford E, et al. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med 1999;341:1725.

  3. 3.- Rojas G, Mancilla E, Diliz H, Bordes J, Alberu J, Grife A et al. Organ Missing Cases and their Causes in a prospective Study in Mexico, Transplant Proc. 1993 Dec;25(6):3124-5.

  4. 4.- Gómez-Trejo JC, Portilla-Flores VH, Urbina- Guerrero R, Bazan-Borges A. Principales motivos de aceptación y rechazo para la donación de órganos. Experiencia del Hospital Juárez de México. Rev Hosp Juarez Mex. 2005;72:55-58.

  5. 5.- Rizvi SAH, Naqvi SAA. Our Vision on Organ Donation in Developing Countries. Transplant Proc. 2000 Feb;32(1):144-5.

  6. 6.- Dib-Kuri A, Aburto-Morales S, Espinoza-Álvarez A, Sánchez-Ramírez O. Trasplantes de órganos y tejidos en México. Rev Invest Clínica. 2005;57 (2):163-169.

  7. 7.- Reyes-Acevedo, R. Ética y trasplantes de órganos búsqueda continua de lo que es aceptable. Rev Invest Clínica 2005;57 (2): 177-186.

  8. 8.- Jiménez-Domínguez A, Holm-Corzo A, Hernández-Domínguez M, Perez-Molina L, Muñiz- Toledo V. Experiencia en procuración multiorganica. Cirujano General 2002;24(2):112-115.

  9. 9.- Darby JM, Stein K, Grenvik A, Stuart S. Approach to management of the heartbeating “Brain dead” oragn donor. JAMA. 1989 Apr 21;261(15):2222-8.

  10. 10.- A Lopez- Navidad, Mantenimiento y manejo del donante de órganos en: A Lopez-Navidad, J Kulisevsky, F Caballero, Springer-Verlag Iberica Barcelona 1997:478-485.

  11. 11.- Reformas a la Ley General de Salud: certeza jurídica para la donación y los trasplantes. Centro Nacional de Trasplantes, Junio, 12, de 2009.http//www.cenatra.org.mx

  12. 12.- Secretaria de Salud emite Lineamientos para la asignación y distribución de órganos y tejidos. Centro Nacional de Trasplantes, Centro Nacional de Trasplantes 24 de Abril del 2009.http.www.cenatra.org.mx.




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Rev Med MD. 2013;4.5