Study on 17 pediatric patients aged from 1 to 12 years of old, 14 boys and 3 girls. Burn-caused agents were dry heat, wet-heat and chemicals. Patients were divided randomly into 2 groups: Group A (Study group) involved 10 patients with mean age of 5 years, average common burn area was 41% of body area and deep burn area was 35% of body area. Group B (control group) included 7 patients with mean age of 6 years. The average common burn area of these patients was 48% of body area and the deep burn area was 34%. In group A, the bacterial infection incidence was lower markedly than group B (p<0.05). P. aeruginosa caused sepsis had highest incidence (66.6%) in patients with positive culture. Skin implantation produced good and moderate results in group A. 10 patients received skin allograft in 16 operations. Mean time survival of skin grafts is 14.92 days.
burns, (Transplantation, Homologous)

Bone Transplantation ; Humans ; Mandible ; transplantation ; Transplantation, Homologous

After using the same homograft in 15 cases at our Institute, we only want to tell colleagues, because the number of the patients is still restricted and these cases are watched for only 2 years. A question is that we should only use the same spongy bones for mixing deformed face after accident or deformity by cleflip and palate, using the same hard bones should be only used instead of Mandibular.
Homologous Transplantation ; Surgery ; Oral Surgery

Empyema after lung transplantation causes dysfunction of the allograft, and it has the potential to cause mortality and morbidity, but the technical difficulty of surgically treating this empyema makes this type of treatment unfavorable. We report here on two cases of decortication for empyema after lung transplantation.
Empyema ; Lung ; Lung Transplantation ; Transplantation, Homologous

Humans ; Intestine, Small ; transplantation ; Transplantation, Homologous ; methods

By obsersation study, authors researched applying process of preperation of fresh homograft heart aortic valves. The result showed that: 85% (12/14) cases was good. The maximum kipped time was 8 weeks but the best time was in 6 weeks. The antibiotic-nutrient solution may be stored for up to 4 weeks in the dark at 4oC.
Heart Transplantation ; Heart-Lung Transplantation ; Aortic Valve ; Transplantation, Homologous

Face ; surgery ; Hand Transplantation ; Humans ; Organ Transplantation ; Transplantation, Homologous

OBJECTIVETo study the psychology and the treatment during the process of hand allograft.

METHODSThe patients were interviewed to evaluate their states of mind and their abilities to manage stress during the selection of patients. The psychology of the two patients were trained before the operation and managed accordingly afterwards.

RESULTSOne of 12 candidates was found to be unsuitable for the transplantation because of psychiatric problems. One week postoperatively, the two patients were anxious, lacked patience and were afraid of seeing the long-awaited grafted hand. After 1 week, the patients began to accept the new hand, with full acceptance of the hand 1 month later. With the recovery of hand sensation 4 to 5 months after the operation, the patients regarded the hand as their own.

CONCLUSIONPsychological problems exist during preoperative selection of patients and postoperative rehabilitation, requiring psychologists in the hand transplantation team.

BACKGROUND: Cord blood has been established as an alternative source of hematopoietic reconstituting cells for allogeneic transplantation. CHA cord blood bank, I-CORD has been followed the 'Rubinstein method', which is manual method for collecting mononuclear cells (MNCs). The problem of these manual methods are the risk of bacterial contamination and poor reliability. Recently, an automated method running on the Sepax(R) system (Biosafe S.A., Eysins, Switzerland) has been developed and we compared the results of automated system and manual technique. METHODS: For the total 40 cord blood donations to CHA cord blood bank I-CORD, we processed with manual method using Rubinstein protocol or automated method using "Sepax(R)" (Biosafe S.A.). The recovery rate of total leukocytes and mononuclear cells and hematocrit ratio were compared after processing. RESULTS: The mean ratio of hematocrit after/before processing was significantly lower in samples processed by using manual method (0.96+/-0.42) than "Sepax(R)" (1.4+/-0.4). The WBC recoveries were comparable between two groups (82.8+/-12.8% with manual method and 83.9+/-8.9% with "Sepax(R)"). The recoveries of mononuclear cells were more efficient in samples processed by "Sepax(R)" (100.8+/-31.8%) than those by manual method (74.2+/-13.8%). CONCLUSION: The automated technique using "Sepax(R)" achieved a comparable recovery rate to conventional manual method and has advantages because these systems are more standardized and closed system. The processing effectiveness could be improved through more practices.
Fetal Blood* ; Hematocrit ; Leukocytes ; Running ; Transplantation, Homologous

Recently, the incidence of revision total hip arthroplasty following primary total hip arthroplasty has increased. However, revision after primary total hip arthroplasty is usually much more difficult than the first time, and the results are typically not as satisfactory as that after most primary total hip arthroplasty procedures. Therefore, thoughtful and thorough preoperative planning will certainly provides the patient with the best opportunity for long-term success. In particular, location and size of acetabular bone defects dictate the type of acetabular component in revision in total hip arthroplasty. For most defects, a porous-coated hemispherical shell secured to host bone with multiple screws is the implant of choice. This reconstruction is feasible provided that at least 50% of the implant is in contact with host bone. When such contact is not possible, and there is adequate medial and peripheral bone, techniques using alternative uncemented implants can be used for acetabular reconstruction. Defects with greater bone loss or compromised columns require the use of either modular augments combined with a hemispherical shell, reconstruction cages, structural allografts, or impaction allograft. Therefore, we attempt to introduce the most commonly-adopted system for classification of acetabular defects and the necessary preoperative evaluation, intraoperative detail, and reported results of these acetabular revisions.
Arthroplasty ; Hip ; Humans ; Incidence ; Transplantation, Homologous