Composite tissue allotransplantation - a new era in plastic surgery?

被引:59
作者
Hettiaratchy, S
Randolph, MA
Petit, F
Lee, WPA
Butler, PEM
机构
[1] Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Plast Surg,Transplantat Biol Res Ctr, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Massachusetts Gen Hosp, Plast Surg Res Lab, Boston, MA 02115 USA
[3] CHU Henri Mondor, Dept Plast Reconstruct & Aesthet Surg, Paris, France
[4] Univ Pittsburgh, Sch Med, Div Plast Surg, Pittsburgh, PA USA
[5] Royal Free Hosp, Dept Plast & Reconstruct Surg, London NW3 2QG, England
来源
BRITISH JOURNAL OF PLASTIC SURGERY | 2004年 / 57卷 / 05期
关键词
composite tissue transplantation; immunosuppression; tolerance;
D O I
10.1016/j.bjps.2004.02.012
中图分类号
R61 [外科手术学];
学科分类号
摘要
Composite tissue allotransplantation (CTA) holds great potential for reconstructive surgery. The recent hand transplants have made this a clinical reality. However, concerns about CTA have divided the medical community. The current transplants require life-long immunosuppression, which could place the recipients at risk of serious complications. In addition despite potent immunosuppression, chronic rejection may still negate any early favourable results. This article will outline the clinical experience of CTA, the major problems of the technique and the potential solutions to these problems. (C) 2004 The British Association of Plastic Surgeons. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:381 / 391
页数:11
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