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Flashcards in Transplants Deck (28)
1

Orthotopic

The new organ is put in the same exact place

2

Why are liver transplants performed?

to eliminate an irreversible disease

3

How many liver transplants are performed in the US each year?

5000

4

1 year survival rate after liver transplant

80-85%

5

What causes liver diease?

Cirrhosis

6

What leads to cirrhosis?

1. Hepatitis C
2. Alcoholismas well as congenital metabolic disorders, sclerosing cholantitis, Budd= Chiari syndrome and unresectable hepatoma

7

What is the indication in children?

Biliary atresia

8

Where does the bile duct get attached to after a orthotopic liver transplant?

Small intestine

9

How long does a orthotopic liver transplant take?

5-6 hours

10

What occurs during a pediatric orthotopic liver transplant?

a portion of the adult liver will be used1 adult liver can be used for 2 children

11

What percent of the adult liver is removed for a pediatric living donor transplant?

20%

12

What happens during an adult liver living donor transplant?

RLL removed from donor, liver regenerate and in 4-6 weeks it is functioning at 100%

13

Which is a more complicated surgery, liver living donor transplant or liver orthotopic transplant?

liver living donor transplant

14

Most common complication of liver transplants

hepatic artery thrombosis

15

other complication of liver transplants

thrombus in portal vein or IVC, infection fluid collections- hematomas, ascesses, bilimas, ascitites and seromasbiliary leaks

16

percent of liver's that are rejected after a transplant

50-70%

17

After a liver transplant, what does the hepatic artery do?

provide the only blood supple to the biliary tree

18

What causes biliary complication?

thrombosis or stenosis of the hepatic artery

19

When is a pancreas transplant performed?

type 1 diabetes with end stage renal disease

20

What percent of pancreas transplantation are simultaneous pancreas-kidney transplantation

90%

21

What happens to the patients diseased pancreas during surgery?

is left in place in the body

22

Where is the donor's pancreas placed in the patients body?

right portion of the pelvis along with a small amount of the donor's duodenum

23

Complications with pancreas transplants

Thrombosis
Pancreatitis
Infection
Bleeding
Rejection

24

where is the donor's kidney placed in the patient?

iliac fossa

25

where is the renal artery located during a kidney transplant?

either the internal iliac artery or external iliac artery

26

where is the ureter inserted during a kidney transplant?

into the bladder above the ureteral orifice through a submucosal tunnel in the bladder wall

27

What kidney is removed from the donor for a kidney trasnplant?

Left because the Left Renal Vein is longer

28

Where is the donor kidney placed during kidney transplant?

The patients right