In 1981, Bellevue was certified as an official heart station for cardiac emergencies; a year later it was designated as a micro-surgical reimplantation center for the City of New York, by 1983 as a level one trauma center, and by 1988 as a head and spinal cord injury center.
32.
They include lysis of adhesions, fimbrioplasty ( repairing the fimbriated end of the tubes ), salpinostomy ( creating an opening for the tube ), resection and reananstomosis ( removing a piece of blocked tube and reuniting the remaining patent parts of the tube ), and tubal reimplantation ( reconnecting the tube to the uterus ).
33.
A further factor in minimising injury at the reimplantation operations may have been that the kidneys were kept at 7 �C within the cooling coil, which was within a degree of the temperature used during perfusion storage, so that the kidneys were not subjected to the greater changes in temperature that would have occurred if ice cooling had been used.
34.
In attempting to improve on these results Manax investigated the effect of hyperbaric oxygen, and found that successful 48-hour storage of dog kidneys was possible at 2 �C without using continuous perfusion, when the kidneys were flushed with a dextran / Tis-U-Sol solution before storage at 7.9 atmospheres pressure, and if the contralateral nephrectomy was delayed till 2 to 4 weeks after reimplantation.
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