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Start Over Descriptor "Donante vivo" Journal actas urologicas espanolas
3 results on '"Donante vivo"'

1. Donante vivo renal: Experiencia de cirugía abierta y laparoscópica. Hospital La Paz

Author

Luis Hidalgo Togores, Enrique Jaureguizar monereo, Ángel Alonso, Manuel Pérez Utrilla, Javier de la Peña Barthel, and Alfredo Aguilera Bazán

Subjects
Laparoscopia, Cirugía renal laparoscópica, business.industry, Donante vivo, Urology, Medicine, business, Humanities
Abstract

Resumen La extraccion renal laparoscopica es una tecnica escasamente implantada en nuestro pais, debido principalmente a la dificultad tecnica que supone y a la gran cantidad de donante cadaver que encontramos en nuestro medio. Presentamos y analizamos nuestra serie de donante vivo abierto y laparoscopico desde 1984 Material y Metodos Desde 1984 hasta 2007 se han realizado 84 extracciones renales de donante vivo; 64 por cirugia abierta, 20 laparoscopicas. El abordaje transperitoneal ha sido el elegido en el caso de la laparoscopia y la lumbotomia en la abierta. Resultados En la tecnica abierta el tiempo quirurgico medio es de 112 min (70-155), el tiempo medio de isquemia caliente es de 20 segundos (15-47) y la estancia media es de 4,8 dias (3-9). En los casos realizados por laparoscopia, el tiempo quirurgico medio es de 146 min (90-210), el tiempo de isquemia caliente es de 3 min y 15 seg (2-3,25) y la estancia media es de 3,4 dias (2-9). Conclusiones El abordaje laparoscopico es una tecnica que no esta exenta de riesgos y que no deben ser despreciados. Debe ser realizado por equipos con experiencia en cirugia renal laparoscopica. En lo referente al rinon obtenido de donante vivo, sin duda se trata de una magnifica solucion para pacientes en estado de insuficiencia renal cronica. Es un recurso que deben ofrecer los principales hospitales de nuestro pais.

Published
2009
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2. Lipomatosis renal en donante cadáver

Author

P. López Cubillana, A. Maluff Torres, M. Pérez Albacete, A.I. López López, A. Prieto González, and E. Cao Avellaneda

Subjects
Gynecology, medicine.medical_specialty, Trasplante renal, business.industry, Donante vivo, Urology, medicine, Riñón, Angiomiolipoma, business
Abstract

Resumen Objetivo Valorar la actitud a seguir ante el hallazgo de una o varias masas en la superficie renal durante la extraccion de organos de un donante cadaver. Pacientes y metodo Donante cadaver varon de 56 anos fallecido por hemorragia subaracnoidea y sin antecedentes urologicos de interes. Resultados El estudio anatomopatologico intraoperatorio de las masas renales informo de la naturaleza lipomatosa de las mismas, procediendose al implante renal segun la tecnica habitual. Conclusiones El hallazgo de una masa en la superficie renal durante la extraccion de organos para trasplante constituye una indicacion absoluta de biopsia previa al implante.

Published
2006
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3. Ancillary personnel in Spanish and Latin-American hospitals faced with living related kidney donation.

Author

Ríos A, López-Navas A, Ayala-García MA, Sebastián MJ, Abdo-Cuza A, Martínez-Alarcón L, Ramírez EJ, Muñoz G, Suárez-López J, Castellanos R, Ramírez R, González B, Martínez MA, Díaz E, Ramírez P, and Parrilla P

Subjects
Adult, Cuba, Female, Humans, Male, Mexico, Spain, Surveys and Questionnaires, Workforce, Ancillary Services, Hospital, Attitude to Health, Kidney Transplantation, Living Donors, Nephrectomy, Tissue and Organ Harvesting
Abstract

Introduction: Ancillary hospital personnel represent an important body of opinion because as they work in a hospital their opinion has more credibility for the general public as a result of their activity in hospitals. However, in most cases they do not have any health care training which means that their attitude could be based on a lack of knowledge or unfounded fears., Objective: To analyze the attitude toward living kidney donation (LKD) among ancillary personnel in Spanish and Latin-American hospitals and to analyze the variables that might influence such attitude., Patients and Method: from «International Collaborative Donor Project» a random sample was taken among ancillary personnel in Spain, Mexico and Cuba hospitals. Attitude towards LKD was evaluated using a validated, anonymously filled and self-administered survey., Results: 951 professionals were surveyed (Spain: 277, Mexico: 632, Cuba: 42). 89% (n=850) are in favor of related kidney donation, lowering to 31% (n=289) in non-related donation. Of the rest, 8% (n=78) are not in favor and the 3% (n=23) are unsure. By country, Cubans (98%) and Mexicans (91%) are more in favour than Spanish (84%) (P=.001). The following variables are related to favourable attitude towards LKD: female sex (P=.017), university degree (P=.010), work in health services (P=.035), labour stability (P=.016), personal experience in donation and transplantation (P=.001), positive attitude toward cadaveric donation (P<.001), belief that he or she might need a transplant in the future (P<.001), positive attitude towards living liver donation (P<.001), a willingness to receive a donated living liver if needed (P<.001), having discussed the subject of organ donation and transplantation within the family (P<.001), partner's positive attitude towards the subject (P<.001), participation in voluntary type pro-social activities (P=.002) and not being concerned about possible mutilation after donation (P<.001) CONCLUSIONS: The attitude toward living related kidney donation is favourable among ancillary personnel in Spanish and Latin-Americans hospitals. Because living donation is a better source of organs than cadaveric ones, this favourable predisposition can be used as promoting agent of living donation in order to develop it in Spanish-speaking countries., (Copyright © 2013 AEU. Published by Elsevier Espana. All rights reserved.)

Published
2014
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