Live Donor Kidney Transplantation with Lori Brigham and Jimmy Light, M.D., F.A.C.S.

WebMD Live Events Transcript

Join Lori Bringham, executive Director of the Washington Regional Transplant Consortium and Dr Jimmy Light, Surgeon and Director of Transplantation Services at Washington Hospital Center, Washington, DC to discuss live donor kidney transplantations.

Event Date: 03/15/2000

The opinions expressed herein are the guests' alone and have not been reviewed by a WebMD physician. If you have questions about your health, you should consult your personal physician. This event is meant for informational purposes only.

Moderator: Welcome to the Women's Health Place Program on WebMD Live. Our guests today are Lori Brigham, executive director of the Washington Regional Transplant Consortium, and Jimmy Light, MD, surgeon and director of transplantation services at Washington Hospital Center in Washington, DC.

Lori Brigham, executive director of the Washington Regional Transplant Consortium, has been with the consortium since its inception in 1987. She is active in the organ procurement and the transplantation community, both locally and nationally. Brigham has served on the Organ Procurement Committee for the United Network of Organ Sharing, is a former board member of the American Share Foundation, and has served on a variety of committees and advisory panels for the North American Transplant Coordinator Organization and the Association of Organ Procurement (AOPO). Brigham currently serves on the Professional Advisory Board of the National Kidney Foundation of the National Capital Area and is Co-Chairperson of the AOPO Performance Standards Committee.

Jimmy Light, MD, is a distinguished surgeon and leader in kidney and pancreas transplantation. He is director of transplantation services at Washington Hospital Center in Washington, D.C. and an attending physician at both Children's Hospital National Medical Center and National Rehabilitation Hospital. He holds an academic appointment as professor of surgery and chief of the division of transplantation for the Uniformed Services University of the Health Sciences. Dr. Light is currently on the Board of Directors of the National Kidney Foundation of the National Capital Area, Chairman of the Transplantation Subcommittee of the Mid-Atlantic Renal Coalition, Scientific Advisory Board member of the Society of Organ Sharing, president of the South-Eastern Organ Procurement Foundation, and chairman of the Organ Medical Advisory Committee of the Washington Regional Transplant Consortium.

Greetings and welcome. Please feel free to ask Lori Brigham and Dr. Jimmy Light your questions at any time. Please preface your question with /ask. EXAMPLE: /ask What is the topic?

We will begin our discussion about Live Donor Kidney Transplantation in about 45 minutes. Did any of you catch the surgery on WebMD Live earlier today? We have scheduled this discussion as a follow up.

Welcome to WebMD Live, Lori Brigham and Dr. Light, it is a pleasure having you here this evening.

Brigham: Good evening.

Dr. Light: Nice being here.

Moderator: Apologies everyone, my system is a little bit slow this evening. Even moderators can have computer issues! Perhaps we could begin with an overview of a hand assisted, laparoscopic nephrectomy ... Dr. Light could you give a brief explanation of this procedure please?

Dr. Light: Yes. This is a minimally invasive procedure to remove the kidney for transplantation, where the hand is inserted into the abdomen thru a small incision to assist with the laparoscopic instruments.... some feel it makes the procedure easier than doing it by only instruments. The advantage of this approach is that the pain of surgery is less and the patients recover faster than when the kidney is removed by standard open surgery techniques... It is controversial whether the hand assisted procedure is better than the approach pioneered by Ratner in Baltimore.

ladyg2_WebMD:What is done to prepare a live donor?

Moderator: Dr. Light?

Dr. Light: Donors, of course, must be in good health and have normal kidney function and be compatible immunologically with the recipient, and have normal vascular anatomy to the kidney. Except for that, nothing special except for preoperative hydration to insure optimal kidney function during the removal procedure.

Ellafit_WebMD: If I am interested in becoming a donor, what do I need to do?

Moderator: Lori, could you address this one please?

Brigham: Are you interested in being a living unrelated kidney [donor], or donating your organs and tissues when you die? I can address both.

Moderator: Please, that would be great.

Brigham: Let's start with cadaveric donation. If you want to donate organs and tissues when you die ...TELL YOUR LEGAL NEXT OF KIN. Let them your know your desire to donate upon your death. At the time of your death, we will work with your legal next of kin and the hospital to evaluate your medical suitability to be a donor. What ever is possible for you to donate, we will discuss with your family. It is important that you share your decision so that they can ensure that your wishes are carried out. There are many options for donation. Organ, tissue, and both are needed for transplantation and research, so please consider both. Now to be a living unrelated kidney donor, the Washington Regional Transplant Consortium (WRTC) has recently started a living donor registry program for people just like you. At this time, all you would have to do is contact our office and leave me your name, telephone number and an address.