Tricks of the Senior Surgeon

■ The correct procurement of iliac, superior mesenteric, carotid and jugular vessels is crucial as complex vascular reconstructions might be required during the implantation. Therefore, the whole iliac axis down to the inguinal ligament must be taken.

■ The bile duct should be routinely rinsed by means of a small feeding tube through the cut end, as remaining bile salts precipitate and may damage the biliary epithelium. Flushing the biliary tree through the gallbladder cleans only the distal bile duct and thus is not enough!

■ Correct back-table bath temperature must be guaranteed. Warming up of the solution and direct contact with the ice can both be harmful and can easily be avoided by separating the allograft from the crushed ice through a cold saline buffer.

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How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

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