800Surgical aspects and graft outcome in the multi-retransplant kidney patient

Gutiérrez-Baños, J.L.; Rodrigo, Emilio; Rebollo, H.; Portillo, J.A.; Correas, M.; Roca, A.; Valle, John Del; Martin, Benjamin; Arias, M.

doi:10.1016/s1569-9056(05)80804-8

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…17 In our experience, the rate of surgical complications was lower than other studies. 3,18,19 This may be partly due to the surgery technique and the experience of the transplant surgeons.…”

Section: Discussionmentioning

confidence: 99%

“…1 It is reported that about 14% of the patients undergoing renal transplantation require a second 2 or higher number of retransplantations. 3 Of this number, few of them go back on the waiting list or are retransplanted. 4 One reason is that despite the general agreement on first transplantation, performing multiple renal transplantations is not accepted worldwide and reports of third renal transplantations are rare.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Our experience with third renal transplantation: Results, surgical techniques and complications

Nourbala¹,

Ghaheri

Kardavani

2007

Int J of Urology

View full text Add to dashboard Cite

Background: Despite the popularity of kidney transplantation in the current era, second and third kidney transplantation are not yet widely accepted and practiced. Each center has its own regulations and experiences and there is no accepted protocol for third kidney transplantation. We report here our 15 years of experience with third kidney transplantation. Methods: This is a report of all the third kidney transplantations performed in Baqiyatallah Hospital, Tehran, Iran, between 1991 and 2006. Demographic data, surgical techniques, complications and outcomes are reported. Results: Of the nine third kidney transplant patients, six were male. The median age was 43 years (32-52). All of the patients received kidney from living donors. All operations were performed by a midline incision and the grafts were placed at the midline, in the intraperitoneal space. For arterial anastomosis, we used internal iliac, right common iliac and both the right external iliac and inferior mesenteric artery in 4, 4 and 1 case(s), respectively. For venous anastomosis, we used vena cava, common iliac and external iliac veins in 3, 5 and 1 case(s), respectively. During the follow up period (38 months), 6 grafts (66.6%) were functioning. None of the graft rejections were due to surgical complications. Wound dehiscence occurred in two patients. No other surgical complications including infection, lymphocele or hemorrhage were observed. Conclusion: Third kidney transplantation is a field that has not been fully explored. The rate of complications seems to be not much higher than the first transplantation. Defining a standard protocol seems necessary.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%