Organ harvesting

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Organ harvesting
Intervention
MeSH D020858

In immunology, organ harvesting is a surgical procedure that removes organs or tissues for reuse, such as in organ transplantation.[1] It is mired in ethical debate and heavily regulated, but has largely become an accepted medical practice.

Procedures[edit]

The first step of organ harvesting is to check the health condition of the organ. If the source is human, most countries require that the source is legally dead for organ transplantation purposes (e.g. cardiac or brain dead) or a voluntary healthy adult for the donation of some organs. Organs cannot be harvested after the heart has stopped beating for long time. Thus, a brain dead donor is preferred, but only a small percentage of deaths are brain deaths. Therefore, the majority of human organ sources are post cardiac death.[2]

Donation after cardiac death (DCD) involves surgeons taking organs within minutes of the cessation of respirators and other forms of life support for patients who still have at least some brain activity. DCD had been the norm for organ donors before 'brain death' became the standard in the early 1970s. Since then, most donors have been brain-dead.[3]

If consent is obtained from the source or the source's survivors, the next step is to perform a match between the source (donor) and the target (recipient) to reduce allergies. In the United States, the match between human donors and recipients is coordinated by groups like United Network for Organ Sharing.[4]

Co-ordination between teams working on different organs is often necessary in case of multiple-organ harvesting.[5] Multiple-organ harvesting models are also developed from slaughtered pigs to reduce the use of laboratory animals[6]

Quality of the organ then is certified. If the heart stopped beating for too long then the organ becomes unusable[5] and cannot be used for transplant.

After organ harvesting the organs are often rushed to destination for emergency transplanting or preserved for later use or study.

Illegal practices[edit]

Investigations into organ harvesting in China have been published.[7][8] Ethan Gutmann interviewed over 100 witnesses on 4 continents and estimated that 65,000 Falun Gong practitioners were killed for their organs from 2000 to 2008.[8][9]

Ethical issues[edit]

As part of the organ transplantation this procedure is part of many ethical debates. The debates are less on donations between relatives, paired exchange or altruistic donation but more on illegal, forced or compensated transplantation like organ theft or organ trade, and to a less degree, on fair organ distribution, animal rights and religious prohibition on consuming some animals such as pork.

See also[edit]

References[edit]

  1. ^ "Tissue and Organ Harvesting". Ncbi.nlm.nih.gov. Retrieved 2014-01-11. 
  2. ^ "Southwest Transplant Alliance". Organ.org. Retrieved 2014-02-11. 
  3. ^ "New organ donation rules: Surgeons won't have to wait to make sure a heart has stopped – Mail Online". Retrieved 2014-01-11. 
  4. ^ Organ Donation after Cardiac Death; Robert Steinbrook, M.D. N Engl J Med 2007; 357:209-213 July 19, 2007 DOI: 10.1056/NEJMp078066
  5. ^ a b An improved technique for multiple organ harvesting, TE Starzl, C Miller, B Broznick, Surg Gynecol Obstet. 1987 October; 165(4): 343–348.
  6. ^ Multiple-organ harvesting for models of isolated hemoperfused organs of slaughtered pigs. C Grosse-Siestrup, C Fehrenberg, H von Baeyer. Dept. and Facilities of Experimental Animal Sciences, Humboldt University of Berlin, Germany
  7. ^ David Kilgour, David Matas (6 July 2006, revised 31 January 2007) An Independent Investigation into Allegations of Organ Harvesting of Falun Gong Practitioners in China (in 22 languages) organharvestinvestigation.net
  8. ^ a b Jay Nordlinger (25 August 2014) "Face The Slaughter: The Slaughter: Mass Killings, Organ Harvesting, and China’s Secret Solution to Its Dissident Problem, by Ethan Gutmann", National Review
  9. ^ Ethan Gutmann (August 2014) The Slaughter: Mass Killings, Organ Harvesting and China’s Secret Solution to Its Dissident Problem p. 368 amazon.com

External links[edit]