Simultaneous transplantation of a "composite" skull and scalp flap plus a kidney and pancreas—all from the same donor—provided excellent outcomes for a patient with a non-healing scalp defect and declining organ kidney and pancreas function, according to a report in the June issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
The experience may open the way to further procedures combining "vascularized composite allotransplantation" (VCA) with organ transplants, in patients who have already accepted the need for lifelong immunosuppressive therapy. "Hopefully, this case and others like it will help to widen the narrow indications for this fascinating new field of reconstructive surgery," write Dr. Jesse Creed Selber of The University of Texas M.D. Anderson Cancer Center and colleagues.
Combined Transplants Are New Option for Organ Recipients Who Already Need Immunosuppression
Vascularized composite allotransplantation refers to transplant procedures combining different types of tissues, such as skin, muscle, blood vessels, nerves, and bone. Face transplantation is the best-known type of VCA; hand transplantation is another example. Continue reading
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