next up previous contents index
Next: Initial incision Up: Multi organ retrieval Previous: Multi organ retrieval   Contents   Index

Sequence of retreival

  1. Veintilated donor is transferred to theatre
  2. Identification of donor and checking of consent
  3. NG irrigation with amphoteracin (if pancreas to be taken)
  4. Incision from suprasternal notch to pubic symphysis
  5. Sternum divided with Gigli saw
  6. Division of falciform ligament
  7. Inspection of abdomen for tumors, etc
  8. Inspection of the organs for donation
  9. Ureters are isolated and kidneys mobilised
  10. Aorta isolated and the coeliac axis and superior mesenteric artery disseted free
  11. The venous systems are isolated
  12. The great vessels in the chest are isolated
  13. William Harvey cannula placed in aorta, above the bifurcation
  14. Cannula placed into the superior mesenteric vein or inferior mesenteric vein, if the liver team wish this
  15. Site for venting of IVC chosen, either cut IVC in chest or place vent tube in abdominal IVC
  16. Clamp placed across aorta in the chest and /or clamp placed across aorta at the level of the diaphragm
  17. Aortic perfusion commenced to cool liver and kidneys with UW solution (University of Wisconsin)
  18. Heart is perfused with cardiopleg solution
  19. Ventilation is ceased
  20. Heart/Heart lungs retrieved
  21. Liver retrieval
  22. Pancreas retrieval
  23. Kidney retreival en bloc
  24. Arterial and venous conduits
  25. Lymphocyte sources for tissue typing, spleen and lymph nodes


next up previous contents index
Next: Initial incision Up: Multi organ retrieval Previous: Multi organ retrieval   Contents   Index
Adrian P. Ireland