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Adverse Occurrence type:
Uncommon. During a 6-year period at one transplant institution, 134 pancreata were recovered and transported to the institution for transplantation, and 14 pancreata (13.4%) were refused solely because of surgical injuries.
Time to detection:
Upon back-table inspection of the pancreas at the transplant institution.
Alerting signals, symptoms, evidence of occurrence:
Most critical injuries in the pancreata refused for transplantation concerned severe injuries of the pancreas parenchyma, superior mesenteric or splenic vein, and splenic or dorsal pancreatic artery such that reconstruction and transplantation became impossible.
Demonstration of imputability or root cause:
Suggest new keywords:
organ procurement, pancreas, damage, injury
Marang-van de Mheen, P., J., Hilling, D. E., Dirkes, H. C., Baranski, A. G. (2011). Surgical injuries of pancreatic allografts during procurement. Clinical Transplantation 25:737-743
Expert comments for publication:
All pancreas allografts were procured from deceased heart-beating donors. Quality of procurement may thus be improved by constant (compulsory) training of procurement surgeons by surgeons who perform pancreas transplantations, showing which type of injuries occur frequently and how to prevent them.