Cuadernos De Medicina Forense最新文献

{"title":"Protocolos clínicos de actuación ante el proceso de donación y extracción de órganos y tejidos para trasplante en donación en muerte encefálica","authors":"J. M. Jurado","doi":"10.4321/S1135-76062015000100005","DOIUrl":"https://doi.org/10.4321/S1135-76062015000100005","url":null,"abstract":"espanolEn el proceso de donacion y trasplante de organos habra un protocolo de puntos clave para mejorar resultados. La deteccion de donantes tiene lugar principalmente en las unidades de medicina intensiva (UMI), urgencias y plantas neurologicas. La etiologia mas frecuente de muerte encefalica (ME) suele ser accidentes cerebrovasculares agudos (ACVA). El mantenimiento del donante es en las UMI. La ME desencadenara cambios fisiopatologicos: inestabilidad hemodinamica, perdida de respiracion espontanea, hipotermia y desequilibrio hormonal e hidroelectrolitico. El diagnostico de ME se realizara por tres medicos que realizaran una completa exploracion neurologica, y a veces se recurrira a pruebas diagnosticas instrumentales segun la legislacion espanola. En los casos judiciales sera imprescindible la colaboracion del medico forense, que valorara el caso e informara al juzgado para su autorizacion. Es importante la informacion a la familia de la evolucion clinica, el exitus y la posibilidad de donacion para el consentimiento familiar a la donacion. Finalmente se programara una correcta extraccion e implante de los organos. EnglishThe process of organ and tissue donation has to be standardized to maximize results. Donor detection takes place mainly in Intensive care units, emergency areas and neurology wards. The most common etiology of encephalic death is acute stroke. Donor management occurs in intensive care units. Encephalic death promotes physiopathological changes that need constant and intensive correction, such as hemodynamic unstability, loss of regular breathing, hypothermia and an array of changes in the hormone and electrolyte level. According to the Spanish legislation, the diagnosis of encephalic death must be signed by three doctors that will perform a neurological exploration, as well as the realization of diagnostic tests. When dealing with a legal case it is necessary the cooperation of a forensic doctor that will assess the case and inform the judge about the authorization. It is important to inform the family about the clinical status, exitus and the possibility of donorship, in order to obtain their consent. Finally, there will be a programmed organ and tissue extraction, coordinated with the implantation.","PeriodicalId":206079,"journal":{"name":"Cuadernos De Medicina Forense","volume":"174 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114395450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aspectos de la extracción de órganos y tejidos que pueden interferir en la investigación judicial","authors":"V. R. Medina","doi":"10.4321/S1135-76062015000100010","DOIUrl":"https://doi.org/10.4321/S1135-76062015000100010","url":null,"abstract":"espanolLa donacion de organos y tejidos de personas fallecidas es uno de los recursos mas importantes con los que cuenta la medicina actual para ayudar a pacientes afectos de graves procesos patologicos, que generalmente ponen en peligro sus vidas. La Organizacion Nacional de Trasplantes en Espana realiza una labor meritoria, y representa un modelo en todo el mundo. En los casos de muerte violenta o sospechosa de criminalidad se precisa la autorizacion judicial para esta extraccion, y recae en el medico forense la responsabilidad de emitir un dictamen sobre si la extraccion puede o no interferir en la investigacion de la causa de la muerte y sus circunstancias. Se debate entre la labor pericial del medico forense y su funcion sociosanitaria para salvar vidas. Se hace una revision de la literatura medica, que en general defiende reducir al maximo las negativas a la extraccion, o al menos que estas sean parciales. Se senala la intervencion del medico forense en los casos que pueden ser mas polemicos. La mejor coordinacion entre los equipos de extraccion, los medicos forenses e incluso las familias puede disminuir la tasa de negativas judiciales a la extraccion, globalmente una de las mas bajas del mundo EnglishThe donation of organs and tissues of deceased persons is one of the most important resources boasts current medicine to help patients suffering from severe pathological processes that usually endanger their lives. The Spanish National Transplant Organization performed a meritorious work, representing a model around the world. In cases of death violent or suspected of crime requires judicial authorization for this extraction, in these cases is the forensic pathologist responsible for giving an opinion on whether extraction may or not to interfere with the investigation of the cause of death and circumstances. Debates between the expert work of the forensic pathologist and its healthcare function to save lives. A review of medical literature, which generally defends to minimize the negatives to the extraction or at least that they are partial. Emphasizing the intervention of the forensic pathologist in the cases that can be more controversial. Better coordination between teams of extraction, forensic pathologist, even with families can reduce the rate of judicial refusals to extraction, globally one of the lowest in the world","PeriodicalId":206079,"journal":{"name":"Cuadernos De Medicina Forense","volume":"299 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115767412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La práctica de la diligencia judicial de autopsia en los supuestos de fallecidos en los que se han extraído órganos para su trasplante","authors":"P. Jorge","doi":"10.4321/S1135-76062015000100009","DOIUrl":"https://doi.org/10.4321/S1135-76062015000100009","url":null,"abstract":"espanolEn Espana, el numero de donaciones de fallecidos judiciales es mayor que en otros paises de nuestro entorno, posiblemente porque el modelo espanol facilita en gran medida la interconexion activa entre el medico forense, el Juez de guardia y los coordinadores de trasplantes. Desde esta perspectiva humana, enaltece a la sociedad, basandose en la solidaridad y el altruismo por parte del donante y su familia. Tambien la dota de un alto nivel sociocultural y tecnico, tanto por la cantidad como por la calidad de los profesionales que intervienen en todo el operativo de trasplantes. En el presente trabajo se analiza la intervencion judicial y del medico forense en las donaciones de organos de cadaveres judiciales, enfatizando sobre las situaciones que en la practica se pueden producir con respecto a las autopsias, asi como en la necesidad de planes de actuacion y protocolos que faciliten la intervencion de los distintos operadores implicados para minimizar, en la medida de lo posible, el numero de negativas judiciales. EnglishIn Spain the number of donations from deceased under judicial investigation is greater than other surrounding countries, possibly because the Spanish model facilitates the active communication between the judge on duty, the forensic doctor and transplant coordinators. From the human perspective, it ennobles the society, based mainly on solidarity and altruism on the part of the donor and his family. It also provides a high socio-cultural and technical level, as a consequence of the quantity and quality of professionals involved in the whole transplant operation. In this paper the court and forensic doctor intervention on donations from deceased under judicial investigation is analyzed. We emphasize different possibilities in daily practice, as well as the need for action plans and protocols that promote the involvement of various operators involved, in order to reduce as much as possible the number of judicial refusals","PeriodicalId":206079,"journal":{"name":"Cuadernos De Medicina Forense","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122279282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Situación actual de la donación-trasplante de órganos y tejidos en Andalucía","authors":"M. Gil","doi":"10.4321/S1135-76062015000100002","DOIUrl":"https://doi.org/10.4321/S1135-76062015000100002","url":null,"abstract":"espanolLa situacion actual de los programas de trasplantes de Andalucia constituye un fiel exponente del grado de modernidad, desarrollo y avance social experimentado en los ultimos anos. En efecto, debemos estar orgullosos de vivir en una comunidad que ocupa un lugar destacado en todo el mundo en donacion-trasplante, a gran distancia de los paises avanzados de nuestro entorno, incluidos los miticos EE.UU. La probabilidad de recibir un trasplante en nuestro sistema sanitario publico en caso de necesitarlo es doble que en el resto de los paises desarrollados. Se describe el trabajo desplegado en los ultimos 25 anos, que ha hecho que Andalucia pase de estar en el \"furgon de cola\" a ocupar un consolidado lugar de liderazgo y ser referente de un pais, Espana, que es el primero del mundo en donacion y trasplantes de organos de forma consecutiva en los ultimos 23 anos. EnglishThe current situation of the Andalusian transplant programs is a valuable example of the degree of modernity, development and social progress made in recent years. Indeed, we must be proud of living in a region that leads worldwide the donor-transplantation rates, far better than other develop countries, including the mythical USA. In Andalucia, the chances of receiving an organ transplant is twice than in other developed countries. In this article we describe the organ transplant organisation in Andalucia over the last 25 years. Andalusia has become one of the most important regions in Spain, country which leads the organ donation transplant rates worldwide in the past 23","PeriodicalId":206079,"journal":{"name":"Cuadernos De Medicina Forense","volume":"150 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116368844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Donación en asistolia","authors":"J. M. P. Villares","doi":"10.4321/S1135-76062015000100006","DOIUrl":"https://doi.org/10.4321/S1135-76062015000100006","url":null,"abstract":"espanolLa donacion en asistolia (DA), o donacion a partir de personas cuyo fallecimiento ha sido diagnosticado por criterios circulatorios y respiratorios, se ha identificado como una de las areas con mayor espacio para la mejora en Espana. La DA no controlada (DANC), o donacion tipo II de la clasificacion de Maastricht modificada de Madrid, es aquella que deriva de personas que han sufrido una parada cardiorrespiratoria (PCR) no esperada, tras la aplicacion de maniobras de reanimacion cardiopulmonar (RCP) sin exito. La DA controlada (DAC), o donacion tipo III de la clasificacion de Maastricht modificada de Madrid, hace referencia a la donacion de organos que acontece a partir de personas fallecidas por criterios circulatorios y respiratorios tras una limitacion de tratamiento de soporte vital (LTSV). EnglishDonation after cardiac death, or donation from persons whose death has been diagnosed by cardiocirculatory and respiratory criteria, has been identified as one of the areas with the greatest room for improvement in Spain. Uncontrolled donation after cardio-circulatory death or type II classification donation modified Maastricht Madrid is one that comes from people who have suffered an unexpected cardio-respiratory arrest, after application of cardiopulmonary resuscitation without success. Controlled donation after cardio-circulatory death or type III modified the classification of Madrid Maastricht donation refers to the donation of organs that occurs from people dying from circulatory and respiratory criteria following a limitation of life-sustaining treatment.","PeriodicalId":206079,"journal":{"name":"Cuadernos De Medicina Forense","volume":"506 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116556108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La importancia de la actuación médico-legal en la donación y trasplante de órganos y tejidos","authors":"M. Gil","doi":"10.4321/S1135-76062015000100001","DOIUrl":"https://doi.org/10.4321/S1135-76062015000100001","url":null,"abstract":"Correspondencia: Manuel Alonso Gil E-mail: manuel.alonso.sspa@ juntadeandalucia.es El trasplante de órganos y tejidos constituye hoy día una actividad terapéutica perfectamente consolidada, al menos en los países desarrollados. El único factor limitante para satisfacer la importante demanda del número de trasplantes, que crece de manera exponencial a medida que mejoran los resultados de supervivencia, es la escasez de órganos y tejidos.","PeriodicalId":206079,"journal":{"name":"Cuadernos De Medicina Forense","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129406023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflexiones sobre el consentimiento de persona fallecida para la donación de órganos: la incidencia de la sentencia del Tribunal Europeo de Derechos Humanos del caso Petrova v. Letonia","authors":"J. Lainz","doi":"10.4321/S1135-76062015000100003","DOIUrl":"https://doi.org/10.4321/S1135-76062015000100003","url":null,"abstract":"espanolLa prestacion del consentimiento para la extraccion de organos de persona fallecida muestra evidentes diferencias frente al concepto tecnico-juridico de consentimiento informado; aunque podria encontrar cierta similitud con las exigencias propias de la obtencion del llamado consentimiento por sustitucion, y, en el supuesto de menores o incapaces, con el supuesto del consentimiento por representacion. La legislacion espanola, adoptando el regimen propio del entorno de los Estados pertenecientes al Consejo de Europa, ha disenado un sistema de presuncion de consentimiento salvo manifestacion expresa en contrario; en el que la labor de la coordinacion de trasplantes se debe dirigir a constatar si el potencial donante manifesto en vida tal oposicion; en el bien entendido que no se requerira en momento alguno una justificacion o posible ponderacion de los motivos de la negativa; y aunque la actuacion cotidiana de las coordinaciones de trasplantes dirija su estrategia de actuacion a involucrar a los pacientes en la responsabilidad y significado de tal acto de generosidad. La STEDH de 24 de junio de 2014 (caso Petrova v Lituania), sin perjuicio de mostrar su plena conformidad con los regimenes basados en el consentimiento presunto recogidos en el Convenio de Oviedo de 4 de abril de 1997 y su Protocolo Adicional de Estrasburgo de 24 de enero de 2002, ha relacionado con el llamado derecho a la vida familiar la obligacion de los poderes publicos de favorecer que la opinion de estos pueda al menos ser tenida en cuenta antes de adoptarse la oportuna decision. EnglishAgreeing to the removal of organs from deceased shows obvious differences from the technical-legal concept of informed consent; though some similarity might be found with those of obtaining consent by substitution, and in the case of minors or disabled, with the assumption of consent by proxy (consent by representation). The Spanish legislation, adopting the regime itself of the environment States belonging to the Council of Europe, has designed a system of presumed consent unless specifically stated otherwise; in which the work of the transplant coordination should be directed to determine whether the potential donor expressed in life such opposition; on the understanding that at no time be required a possible justification or weight whatsoever of the reasons for the refusal; and although the daily performance of transplant coordinators direct its action strategy to involve patients in the responsibility and significance of such an act of generosity. The JECHR of June 24, 2014 (case Petrova v Latvia), although showing full conformity with the regulations based on presumed consent contained in the Oviedo Convention of 4 April 1997 and its Additional Protocol Strasbourg 24 January 2002, has linked the so-called right to family life with the obligation of public authorities to provide the closest relatives with at least an opportunity to set out their views before an appropriate decision is a","PeriodicalId":206079,"journal":{"name":"Cuadernos De Medicina Forense","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124403119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ética en donación de órganos: una alianza rentable","authors":"M. A. D. Frutos","doi":"10.4321/S1135-76062015000100007","DOIUrl":"https://doi.org/10.4321/S1135-76062015000100007","url":null,"abstract":"espanolLos trasplantes de organos son un gran avance de la medicina contemporanea. Sin embargo, para poder seguir creciendo y llegar a la autosuficiencia, es preciso que las actuaciones de los profesionales sanitarios tengan maximos estandares eticos. Solo asi, con la poblacion que confia en sus instituciones y en sus profesionales, se podran atender las crecientes necesidades de trasplantes. Los conflictos eticos con la determinacion de la muerte, la utilizacion de organos de donantes con criterios expandidos, el trasplante con donantes vivos o por la asignacion de organos, deben poder resolverse atendiendo a protocolos que, permanentemente actualizados, permitan acreditar que la equidad, la beneficencia, la autonomia y la no maleficencia han sido contempladas en caso de conflictos. Si se hace bien, la capacidad teorica de donacion alcanzara maximos, ya que la confianza entre poblacion y profesionales sanitarios sera optima. EnglishOrgan transplants represent extraordinary progress of modern medicine. However, in order to grow and become self-sufficient, it is necessary that the actions of health professionals have highest ethical standards. When people trust their institutions and their professionals, they will meet the needs of transplants. Ethical conflicts with the determination of death, the use of organs from expanded criteria donors, transplantation with living donors or organ allocation, should be able to be resolved with updated protocols, allowing establish that equity, autonomy, beneficence and justice, have been referred to in case of conflicts. If done well, improvements in donation will reach highs as trust between population and health professionals will be optimal.","PeriodicalId":206079,"journal":{"name":"Cuadernos De Medicina Forense","volume":"216 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122386438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Donante vivo: legislación","authors":"T. A. Pallás","doi":"10.4321/S1135-76062015000100004","DOIUrl":"https://doi.org/10.4321/S1135-76062015000100004","url":null,"abstract":"espanolIntroduccion: Trasplantes realizados de organos procedentes de donante vivo pueden serlo de un rinon y parciales de higado, intestino e incluso pulmon. Si bien varian fundamentalmente en el riesgo que supone para el donante y los resultados en la supervivencia del injerto, la implicacion legal es la misma. Asi, me centrare en el protocolo con mayor experiencia, menor riesgo para el donante y mejores resultados: la donacion renal de vivo. El trasplante renal ha demostrado ser el mejor tratamiento de la insuficiencia renal cronica en cuanto a supervivencia, calidad de vida, menores complicaciones y mejor relacion coste-beneficio frente a la dialisis. Situacion actual del donante vivo: El trasplante renal procedente de donante vivo se realiza en 14 de las 17 comunidades autonomas del territorio nacional. Destacan, en el ano 2013, Cataluna (165 trasplantes), Andalucia (60 trasplantes), Madrid (40 trasplantes) y Pais Vasco (38 trasplantes), y la evolucion del plan nacional de trasplante cruzado, con un incremento muy significativo en el numero de trasplantes, desde su comienzo en el ano 2009 con dos trasplantes renales hasta 41 trasplantes renales procedentes de donante vivo cruzado en el ano 2013. Legislacion: El trasplante renal de donante vivo estaba regulado en Espana por la Ley de trasplantes 30/1979. Esta ley regulaba la donacion en vida de un organo si es compatible con la vida y la funcion del organo o parte de el es compensada por el organismo. Especifica ademas que el destino del organo sera su trasplante a una persona determinada. Luego siguio el Real Decreto 2070/1999, la Ley de Autonomia del Paciente 41/2002 y finalmente el Real Decreto 1723/2012 de 28 de diciembre. En Europa, la Directiva 2010/45/UE del Parlamente Europeo y del Consejo Europeo de 7 de julio de 2010. EnglishIntroduction: Organ transplants from living donors may be a partial kidney and liver, intestine and even lung. If they vary mainly in the risk to the donor and results in graft survival, the legal implication is the same. So I will focus for this chapter in the protocol with more experience, the less risk to the donor and better results: the living kidney donation. Kidney transplantation has proven to be the best treatment of chronic renal failure in terms of survival, quality of life, fewer complications and better cost-benefit ratio compared to dialysis. Current status of the living donor: Kidney transplant from a living donor is performed in 14 of the 17 regions of the country. Highlighted in the year 2013 Catalonia (165 transplantations), Andalusia (60 transplants), Madrid (40 transplants) and the Basque Country (38 transplants). The evolution of cross-national transplantation plan, with a significant increase in the number of transplants, since its inception in 2009 with two kidney transplants, 41 kidney transplants from living donors crossed in 2013. Legislation: The living donor kidney transplantation was regulated in Spain by Law 30/1979 transplant. This","PeriodicalId":206079,"journal":{"name":"Cuadernos De Medicina Forense","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130692184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La intervención del juez en la donación de órganos de donante vivo: un acto de jurisdicción voluntaria","authors":"S. Molinero","doi":"10.4321/S1135-76062015000100011","DOIUrl":"https://doi.org/10.4321/S1135-76062015000100011","url":null,"abstract":"espanolJunto a los trasplantes de organos procedentes de donante fallecido, cada vez tienen mas importancia los trasplantes procedentes de donante vivo. La legislacion espanola, al igual que la de otros paises de nuestro entorno, preve que el consentimiento para este tipo de donacion se formalice en presencia judicial. A continuacion nos referimos a la normativa reguladora de esta intervencion judicial que pretende sustancialmente garantizar el caracter libre, informado y desinteresado del consentimiento del donante, contribuyendo asi a dar transparencia y seguridad al sistema de donacion. Recordaremos brevemente la evolucion legislativa para despues analizar los requisitos generales de este tipo de actuacion. Finalmente nos referiremos a los tramites seguidos en sede judicial para la formalizacion del consentimiento; tramites que concluyen con la redaccion del denominado documento de cesion. Estos tramites se configuran como un acto de la denominada jurisdiccion voluntaria, tipo de actuacion judicial caracterizado por la ausencia de conflicto entre partes y por la flexibilidad procesal. EnglishAlong with transplants of organs from deceased donors, are increasingly important transplants from living donors. The Spanish law, like that of other neighboring countries, provides that the statement of this consent should be formulated under the supervision and with the approval of a Court. Ahead we refer to the rules governing this judicial intervention, intended to substantially ensure the full and free, informed and non-profit donor consent, so contributing to enhance transparency and legal certainty of the donation. Briefly recall legislative developments so as then to analyse the general requirements for such action. Finally, we refer to the procedures followed in the courts for the formalization of Consent; procedures that end with the drafting of the document called assignment. These procedures are set up as an act of so-called Voluntary Jurisdiction, type of judicial action characterized by the absence of conflict between Parties and procedural flexibility","PeriodicalId":206079,"journal":{"name":"Cuadernos De Medicina Forense","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122591283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}