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Tecnologías e investigación de trasplantes

Volumen 5, Asunto 1 (2015)

Artículo de revisión

A Gift of Life: An Islamic Perspective in Organ Donation and Transplantation

Shahid Athar 

Organ Donation and Transplantation is an issue that has widespread ramifications. In addition to the medical/
technical aspects, there are legal, moral, ethical, economic, logistical and humanitarian aspects. Each of these
aspects may have some peculiarity related to the donor and recipient. This paper deals primarily with the moral,
ethical and humanitarian aspects of the issue. From the viewpoint of Islam, organ transplantation is an acceptable
therapeutic value provided the following criteria are fulfilled:
1. There is no other equally effective therapeutic solution available that is simpler, safer and/or more cost
effective.
2. The organ donation does not result in any harm to the donor
3. The organ donation is done with the free will and full approval of the donor, or in the case of an unconscious
donor, or an organ donation taken from a cadaver, the approval of the next of kin or legal guardian.
4. In the case of the donation of a single organ upon which the life of the donor depends, e.g., the heart or liver,
the organ may not be removed from the donor until the donor’s brain stem death is ascertained.
5. The donated organ is a gift and is not sold.
6. If the transaction results in material or monetary gain to the donor or to the donor’s family, the gain must
not be in the form of price, but the donor or his/her family may accept a gift as a token of appreciation since
the donated organ is considered a gift to the recipient.
7. The transplantation of active reproductive organs is categorically forbidden.
8. The basic rule governing the entire transaction is that organ transplantation is considered a humanitarian act
of mercy accomplished with the free will and approval of all parties involved under no pressure, coercion or
injustice.
Carta al editor

Impact of Living Donor Liver Transplantation Experience on Liver Resection

Jitendra H Mistry

Living donor liver transplantation is well developed in India; experience of living donor liver transplantation has made significant impact on the techniques and approach to liver resection for non-transplant GI surgeons. There are differences the way surgeons with or without liver transplantation experience approaches the patient for liver resection. Liver transplantation positively affects the management of patient requiring liver resection in terms of techniques and preoperative and postoperative management. Visiting a liver transplant centre by those not having liver transplantation experience may help them to improve and expand their field of liver surgery.

Artículo de revisión

Intravesicle Bacillus Calmette–Guérin (BCG) Treatment for Non-Muscle Invasive Bladder Cancer (NMIBC) in the Transplanted Patients Population: A Systematic Review of the World Literature

Omer A Raheem, Ehab A Eltahawy, Rodney Davis and Mohamed H. Kamel

Intravesicle Bacille Calmette-Guerin (BCG) is generally considered to be contraindicated in the immunosuppressed or compromised patients with bladder cancer (BC) because of ineffectiveness or partial toxicities. Therefore, there is little experience with BCG in individual with impaired immune system and this can be challenging to practicing urologists. We sought to review the current available evidence of utilizing intravesicle BCG for BC in patients with solid organ transplantation and commented on its current status.

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