Preventive operations in transplantation surgery
Pichlmayr, R.; Knitsch, W.; Bode, U.
Langenbecks Archiv für Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft für Chirurgie. Kongress 1991: 219-225
1991
ISSN/ISBN: 0942-2854 PMID: 1793909 Document Number: 377259
Historically, there are three phases of development: initially, prophylactic operations in transplant candidates were performed frequently, particularly to minimize complications of infection and stress ulceration. As a consequence of advanced experience and reduced immuno-suppression, the need for those operations declined. Today, by extending transplant indications to elderly patients and to more complicated situations, prophylactic surgery-particularly for concomitant cardiovascular disease-plays an increasing role. Indications for prophylactic surgery are also provided in endocrinal, oncologic and immunologic conditions.