Employment After Liver Transplantation: A Review

BackgroundReturn to productive employment is often an important milestone in the recovery and rehabilitation process after liver transplantation (OLT). This literature review identifies factors associated with employment in patients who underwent OLT.MethodsWe searched PubMed for articles that addressed the various factors affecting employment after OLT.ResultsThe studies demonstrated improvement in the quality of life and examined factors that predicted whether patients would return to work after OLT. Demographic variable associated with posttransplant employment included young age, male sex, college degree, Caucasian race, and pretransplant employment. Patients with alcohol-related liver disease had a significantly lower rate of employment than did those with other etiologies of liver disease. Recipients who were employed after transplantation had a significantly better posttransplant functional status than did those who were not employed.ConclusionEconomic pressures are increasing the expectation that patients who undergo successful OLT will return to work. Thus, transplant teams need to have a better understanding of posttransplant work outcomes for this vulnerable population, and greater attention must be paid to the full social rehabilitation of transplant recipients. Specific interventions for OLT recipients should be designed to evaluate and change their health perceptions and encourage their return to work

Vida, virtudes y milagros del glorioso señor S. Francisco de Sales ... Obispo y Principe de Ginebra ... Tercero de los Minimos de S. Francisco de Paula ...

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Orthotopic liver transplantation of liver grafts previously resected in situ

As a possible solution for the pediatric donor problem some authors have begun to experiment with the transplantation of partially resected donor livers (ROLT). Some clinical cases have been reported. The purpose of this study was to evaluate, in the animal model, a new technique for performing a ROLT by a liver graft previously reduced in size by in situ resection preceding the harvesting procedure. To study the impact of this technique, we compared its results with those obtained in animals undergoing standard orthotopic liver transplantation (OLT). Our data demonstrated that a resected liver with the functional volume proportional to the recipient can successfully meet the biochemical needs of its new host. Given that there is less difficulty in finding adult organs, the possibility exists that adult donor livers could be used to increase the donor pool for pediatric patients