scholarly journals Segmental Renal Ischemia following Transplantation of Horseshoe Kidney as Separate Allografts

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
J. T. Foster ◽  
P. E. Morrissey

Introduction. Horseshoe kidney is a congenital anomaly that presents unique challenges for the transplant surgeon. The mere presence of horseshoe kidney should not preclude consideration for transplantation.Case Report. A 33-year-old women suffering from end-stage renal disease underwent deceased donor renal transplant with a divided horseshoe kidney. We present a postoperative complication and the technical strategy for transplant salvage. The patient currently has excellent graft function.Discussion. Horseshoe kidneys do present challenges for successful transplantation. Though case reports of successful transplantation are increasing, we present a technical complication and successful transplant salvage strategy. Technical descriptions in the literature of successful back-table preparation strategies should help more transplant surgeons to begin to utilize this resource.Conclusion. This study concludes that horseshoe kidneys can be successfully used for transplantation and provides a technical strategy to salvage the transplant after a unique complication associated with these donor kidneys.

2010 ◽  
Vol 14 (6) ◽  
pp. E75-E78 ◽  
Author(s):  
Stefanie Beil ◽  
Jens Drube ◽  
Sylvia Gluer ◽  
Frank Lehner ◽  
Jochen H. H. Ehrich ◽  
...  

2012 ◽  
Vol 113 (3) ◽  
pp. 384-390 ◽  
Author(s):  
Mark A. Lerman ◽  
Catherine Do ◽  
Lakshman Gunaratnam ◽  
Cyelee Kulkarni ◽  
Kevin Tucker ◽  
...  

2013 ◽  
Vol 38 (2) ◽  
pp. 113-120 ◽  
Author(s):  
Sonia Catalina Rivera-González ◽  
Héctor Pérez-Grovas ◽  
Magdalena Madero ◽  
Franklin Mora-Bravo ◽  
Nadia Saavedra ◽  
...  

2017 ◽  
Vol 7 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Tilde Kristensen ◽  
Per Ivarsen ◽  
Johan Vestergaard Povlsen

Recurrence of focal segmental glomerulosclerosis (FSGS) after renal transplantation occurs in up to 20–50% of FSGS patients and is associated with inferior allograft survival. Treatment of both primary FSGS as well as recurrent FSGS after transplantation with plasma exchange and immunosuppression is often unsuccessful and remains a major challenge as the disease still leads to end-stage renal disease and decreased graft survival. Previous case reports have described patients with recurrent FSGS who were successfully treated with a B7-1 inhibitor (abatacept) inducing partial or complete remission. The rational basis for believing in abatacept as a new therapeutic drug for the treatment of FSGS is the study by Yu et al. [N Engl J Med 2013;369: 2416–2423] showing B7-1 in immunostainings of the podocytes. The authors speculated that B7-1 immunostaining of renal biopsies might identify a subgroup of patients who would benefit from abatacept treatment. We present a case with recurrent FSGS after renal transplantation. The patient was unsuccessfully treated with B7-1 inhibitors. Although the patient was treated with abatacept 10 mg/kg body weight twice, the proteinuria and decreased graft function remained unchanged, and he never reached remission.


2019 ◽  
Vol 8 (2) ◽  
pp. 29-29
Author(s):  
Jaiju James Chakola ◽  
Varun Mamidi ◽  
Vamsi Krishna Makkena ◽  
Jayakumar Matcha ◽  
Ramprasad Elumalai

Author(s):  
S. V. Shchekaturov ◽  
I. V. Semeniakin ◽  
A. K. Zokoev ◽  
T. B. Makhmudov ◽  
R. R. Poghosyan

Kidney transplantation is the preferred renal replacement therapy for patients with end-stage renal disease. Traditional surgical approaches consisting of vascular and urinary outflow reconstruction during kidney transplant have been sufficiently studied and standardized. However, surgical techniques are still evolving. The objective of this clinical report is to focus the attention of kidney transplant surgeons and specialists on the currently trending robot-assisted kidney transplantation (RAKT) as a minimally invasive procedure for surgical treatment of patients with end-stage renal disease. In our first experience, good primary graft function was achieved. This shows that RAKT is a surgical option. With considerable number of surgeries and experience, RAKT outcomes would be improved significantly.


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