Publications by authors named "L R Witherspoon"
Background: The effect of weekend admission and surgery on patient morbidity and mortality has been studied in many settings and has been shown to lead to worse outcomes. Several studies have sought to determine whether there is a weekend effect in kidney transplantation specifically, but a clear effect on outcomes and graft survival has not been established.
Methods: We analyzed data from all deceased-donor organ procurements and cadaveric kidney transplants occurring during the 5-year period between Apr.
Article Synopsis
- The study investigates the outcomes of vasectomy reversals (VRs) using a new technique that introduces tension-relieving stitches in the surgically connected tubes, aiming to improve success rates.
- A review of 159 patients from 2019 to 2023 showed a very high patency rate of 97.7% across all procedures, with functional patency rates varying based on the type of reversal performed.
- The results suggest that using tension-relieving methods and careful stitching leads to higher success rates in restoring fertility after a vasectomy.
Prolonged warm ischemia time (WIT) in kidney transplantation is associated with numerous adverse outcomes including delayed graft function and decreased patient and graft survival. Circumventing WIT lies in maintaining renal hypothermia and efficiently performing the vascular anastomosis during this portion of the procedure. Although numerous methods of intra-operative renal cooling have been proposed, most suffer from practical limitations, and none have been widely adopted.
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