TO THE FORENSIC MEDICAL SUPPORT OF KIDNEY TRANSPLANTATION IN ST. PETERSBURG

Abstract

The issues of organ and tissue transplantation are currently one of the urgent tasks of clinical medicine. This also applies to the practice of treating kidney diseases, where one of the effective methods is the transplantation of a donor organ. However, despite extensive practice to date, all the problems of organizing this process have not been solved. The aim of the work was to study the history of development and prospects of interaction between transplant doctors and forensic medical experts during kidney transplants in St. Petersburg. The period of the early 2000s to the present was analyzed. As a result of the study, the main difficulties of such joint work in the implementation of kidney transplants at different stages of the analyzed period were revealed. It is shown that the main condition for successful transplantation activity is adaptation to the requirements of society, detailed awareness of the requirements of laws and other governing documents, as well as strict and strict compliance with them. Only the joint efforts of transplantologists, city health managers, specialists of the city's Forensic Medical Examination Bureau and law enforcement agencies made it possible to create and develop an operating, constantly improving system of post-mortem organ donation. One of the key concepts in such a system was the development of requirements for "forensic medical support of organ transplantation". In cooperation with interested specialists of St. Petersburg, the city Bureau of Forensic Medical Examination organized round-the-clock shifts of forensic medical experts. Clear instructions have been developed for them with legal, medical and forensic contraindications to the collection of organs and tissues from the corpses of donors. This type of activity of the Bureau of Forensic Medical Examination was introduced as a state task.