Small bowel and abdominal wall transplantation: A novel technique for synchronous revascularization

Am J Transplant. 2019 Jul;19(7):2122-2126. doi: 10.1111/ajt.15370. Epub 2019 Apr 15.

Abstract

Abdominal wall transplantation (AWT) was introduced in 1999 in the context of reconstruction of complex abdominal wall defects in conjunction with visceral organ transplantation. As of recently, 38 cases of total AWT have been performed worldwide, about half of which were performed in the United States. While AWT is technically feasible, one of the major challenges presenting to the reconstructive surgeon is time to revascularization of the donor abdominal wall (AW), given the immediate proximity of the visceral organ and AWT. The authors report a novel AW revascularization technique during a synchronous small bowel and AWT in a 37-year-old man.

Keywords: anatomy; clinical research/practice; intestine/multivisceral transplantation; tissue/organ engineering; translational research/science; vascularized composite and reconstructive transplantation.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Wall / blood supply*
  • Adult
  • Humans
  • Intestinal Fistula / pathology
  • Intestinal Fistula / therapy*
  • Intestine, Small / transplantation*
  • Male
  • Organ Transplantation*
  • Prognosis
  • Short Bowel Syndrome / pathology
  • Short Bowel Syndrome / therapy*
  • Vascularized Composite Allotransplantation*