Transplant Surgery Feb 26-March 2 Joohyun Kim Keri Quinn Matthew Kaspar Kavita Deonarine Mary Ellen Dolat.

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Presentation transcript:

Transplant Surgery Feb 26-March 2 Joohyun Kim Keri Quinn Matthew Kaspar Kavita Deonarine Mary Ellen Dolat

DATEPT/MRNAtt/ResDXPROCEDURE 2/26Cotterell/KimESRDDeceased donor kidney transplant 2/26Cotterell/KimESRDDeceased donor kidney transplant 2/27Cotterell/QuinnVentral herniaVentral hernia repair 2/27Cotterell/DolatSuture granuloma Suture removal 2/27Cotterell/DolatSebaceous cystCyst excision 2/27Cotterell/QuinnSymptomatic Cholelithiasis Laparoscopic cholecystectomy 2/27Sharma/KasparESRDIntraperitoneal dialysis catheter placement 2/27Sharma/KasparESRDIntraperitoneal dialysis catheter placement 2/27Sharma/QuinnCadaver donorDonor nephrectomy, hepatectomy

DATEPT/MRNAtt/ResDXPROCEDURE 2/28Cotterell/ Posner/ Kim/Quinn Healthy donorLiving donor nephrectomy for transplant 2/28Sharma/KimSmall bowel perforation Exploratory laparotomy, small bowel resection, poor man’s vac placement 2/28Cotterell/KimESRDDeceased donor kidney transplant 2/28Fisher/KasparHemoperitoneum, bile duct necrosis Exploratory laparotomy, Roux en Y hepaticojejunostomy 2/28Posner/QuinnESRDLiving donor kidney transplant 2/29Posner/KasparTransplant kidney rejection Transplant nephrectomy 2/29Cotterell/KimESRDDeceased donor kidney transplant 2/29Cotterell/KimCadaver donorNephrectomy, hepatectomy

DATEPT/MRNAtt/ResDXPROCEDURE 3/1Cotterell/Kim/Q uinn ESRDDeceased donor kidney transplant 3/1Sharma/KimOpen abdomenReopening exploratory laparotomy, washout, poor man’s vac placement 3/2Cotterell/DolatLymphoceleLymphocele drainage 3/2Cotterell/KimUlceration of AV fistula site Excision of ulcer, closure of healthy tissue over AVF 3/2Fisher/KimOpen abdomenWashout, ileostomy creation, closure with Strattice mesh 3/2Sharma/KimCadaver donorPancreatectomy, nephrectomy, hepatectomy 3/2Posner/QuinnESRDAV graft creation 3/2Posner/QuinnESRDAV graft creation

Complications DATEPT/MRNAtt/Res Complication Procedure 08/12Fisher/CotterellCentral line infection Living donor liver transplant 2/24Cotterell/Dolat ICU transfer for hypotension, atrial fibrillation Repair of ruptured umbilical hernia 2/27 Sharma/Cotterell /Fisher/Kaspar Syncope, GLF Deceased donor liver transplant 2/28 Sharma/Cotterell /Fisher/Kaspar Hemoperitoneum, bile duct necrosis Exploratory laparotomy, Roux en Y hepaticojejunostomy 2/28 Fisher/Cotterell/ Sharma/Kim Small bowel perforation Exploratory laparotomy, small bowel resection, poor man’s vac placement 2/28 Fisher/Cotterell/ Sharma/Posner/ Kim Readmission, hypoglycemia, central line infection Living donor liver transplant 2011

Complications DATEPT/MRNAtt/Res Complication Procedure 2/28 Sharma/Cotterell /Fisher/Posner/Ki m/Quinn Death DDLT, median sternotomy, ligation of subclavian artery, subclavian artery graft 2/28 Sharma/Kim/Ra manathan Readmission Hernia repair of renal transplant incision 3/1 Fisher/Cotterell/ Sharma/Posner/ Kim/Quinn C. Difficile infection Exploratory laparotomy, ligation hepatic artery, drain placement 3/2Cotterell/Kim ICU transfer, traumatic intubation AVF ulcer excision, closure