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Successful en bloc transplantation of pediatric deceased donor kidneys with grade 1 injury.

Modi P, Rizvi SJ, Trivedi HL - Indian J Nephrol (2009)

Bottom Line: Kidney transplantation from deceased donors is in its infancy in India.Marginal donors are now accepted by many centers for kidney transplantation.We report a case of procurement of en bloc kidneys from a pediatric deceased donor having grade 1 renal injury and transplanted to an adult recipient with a follow up of two years and five months.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology and Transplantation Surgery, Dr. H. L. Trivedi Institute of Transplantation Sciences, India.

ABSTRACT
Kidney transplantation from deceased donors is in its infancy in India. Marginal donors are now accepted by many centers for kidney transplantation. We report a case of procurement of en bloc kidneys from a pediatric deceased donor having grade 1 renal injury and transplanted to an adult recipient with a follow up of two years and five months.

No MeSH data available.


Related in: MedlinePlus

Closed upper ends of aorta (thin arrow) and vena cava (thick arrow). Surgicel® bolster was used for repair of laceration at right kidney upper pole
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Figure 0002: Closed upper ends of aorta (thin arrow) and vena cava (thick arrow). Surgicel® bolster was used for repair of laceration at right kidney upper pole

Mentions: A 5-year-old boy had met with road traffic accident and was declared brain dead. Parents and other nearby relatives gave consent for use of organs for purpose of transplantation. The size of both kidneys on ultrasound examination was 7.8 × 2.5 cm. A 1.2 cm long grade 1 injury was found on the anterior surface of the right kidney. Kidneys were perfused in situ after procurement by clamping the suprarenal aorta using Ringer's lactate solution [Figure 1] and packed en bloc for transport and transplantation. On bench, the laceration was repaired by Surgicel® bolster and upper end of aorta and vena cava were sutured by 4/0 and 5/0 polypropylene sutures respectively [Figure 2]. The lower end of donor aorta and vena cava were anastomosed to recipient's external iliac vessels and both kidneys were placed extraperitoneally in a 42-year-old female recipient who had renal failure due to chronic glomerulonephritis [Figure 3]. Both ureters were implanted by modified Lich-Gregoir method over 4.5 Fr size double ‘J’ stents. Drain tube was placed and wound was closed in layers.


Successful en bloc transplantation of pediatric deceased donor kidneys with grade 1 injury.

Modi P, Rizvi SJ, Trivedi HL - Indian J Nephrol (2009)

Closed upper ends of aorta (thin arrow) and vena cava (thick arrow). Surgicel® bolster was used for repair of laceration at right kidney upper pole
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2875709&req=5

Figure 0002: Closed upper ends of aorta (thin arrow) and vena cava (thick arrow). Surgicel® bolster was used for repair of laceration at right kidney upper pole
Mentions: A 5-year-old boy had met with road traffic accident and was declared brain dead. Parents and other nearby relatives gave consent for use of organs for purpose of transplantation. The size of both kidneys on ultrasound examination was 7.8 × 2.5 cm. A 1.2 cm long grade 1 injury was found on the anterior surface of the right kidney. Kidneys were perfused in situ after procurement by clamping the suprarenal aorta using Ringer's lactate solution [Figure 1] and packed en bloc for transport and transplantation. On bench, the laceration was repaired by Surgicel® bolster and upper end of aorta and vena cava were sutured by 4/0 and 5/0 polypropylene sutures respectively [Figure 2]. The lower end of donor aorta and vena cava were anastomosed to recipient's external iliac vessels and both kidneys were placed extraperitoneally in a 42-year-old female recipient who had renal failure due to chronic glomerulonephritis [Figure 3]. Both ureters were implanted by modified Lich-Gregoir method over 4.5 Fr size double ‘J’ stents. Drain tube was placed and wound was closed in layers.

Bottom Line: Kidney transplantation from deceased donors is in its infancy in India.Marginal donors are now accepted by many centers for kidney transplantation.We report a case of procurement of en bloc kidneys from a pediatric deceased donor having grade 1 renal injury and transplanted to an adult recipient with a follow up of two years and five months.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology and Transplantation Surgery, Dr. H. L. Trivedi Institute of Transplantation Sciences, India.

ABSTRACT
Kidney transplantation from deceased donors is in its infancy in India. Marginal donors are now accepted by many centers for kidney transplantation. We report a case of procurement of en bloc kidneys from a pediatric deceased donor having grade 1 renal injury and transplanted to an adult recipient with a follow up of two years and five months.

No MeSH data available.


Related in: MedlinePlus