Minerva

Minerva

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6982.814 (Published 25 March 1995) Cite this as: BMJ 1995;310:814

Liver transplantation is an excellent treatment for conditions such as primary biliary cirrhosis but donor livers are in short supply. Technological advances pioneered by paediatric surgeons have made it possible to take half a liver from a living related donor. Surgeons in Japan (Annals of Internal Medicine 1995;122:275-6) have now successfully transplanted liver from a 25 year old man into his mother aged 53. The two half livers enlarged to the normal size within six months.

Cost containment is changing clinical practice, says an editorial in the “British Heart Journal” (1995;73:203-5), which then reviews the evidence that a high proportion of patients needing coronary artery bypass grafting can have the operation without the heart being stopped. The myocardial ischaemia inevitable during the actual grafting procedure is well tolerated, and apparently surgeons soon learn the hand-eye coordination necessary to suture the graft to a moving target. The simpler procedure is not only cheaper but eliminates the potential hazards of blood transfusion and the bypass itself.

A study in Nottingham of the influence of the father's build on a baby's birth weight (Acta Obstetrica et Gynecologica Scandinavica 1995;74:15-8) looked at 571 births. Short men (2 SD below the mean) whose partners were average sized women had babies who were 183 g …

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