 |
|
Prevention of Urological Complications After Renal Allotransplantation
Folkert O. Beizer, MD;
Samuel L. Kountz, MD;
John S. Najarian, MD;
Emil A. Tanagho, MD;
Frank Hinman, Jr, MD
AMA Arch Surg. 1970;101(4):449-452.
Abstract
Major urologic complications occurred in 4% of 220 renal homotransplants. In addition, two grafts were lost due to ureteral slough. To keep urologic complications at a minimum, certain criteria have been established. The donor kidney must be removed by a surgeon experienced in transplantation techniques. Haste must be avoided when removing the donor kidney, especially from cadaver donors. Ureteroneocystostomy should be performed rather than pyeloureterostomy, unless the blood supply of the donor ureter appears to be marginal. Good exposure for the ureteral implantation should be provided without unnecessary vesical mobilization. Perfect vesical decompression should be maintained postoperatively. Diagnostic urological procedures should be performed immediately at the first suggestion of malfunction.
Author Affiliations
San Francisco
From the departments of surgery (Drs. Beizer, Kountz, and Najarian), and urology (Drs. Tanagho and Hinman), University of California, San Francisco. Dr. Najarian is now at the University of Minnesota, Minneapolis.
Footnotes
Accepted for publication June 16, 1970.
Reprint requests to Department of Surgery, HSE 534, University of California, San Francisco 94122 (Dr. Belzer).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Urologic Problems in Renal Transplantation
Leary et al.
Arch Surg 1975;110:1124-1126.
ABSTRACT
Renal-Transplant Ureteral Obstruction Simulating Retroperitoneal Fibrosis
Krane et al.
JAMA 1973;225:607-609.
ABSTRACT
|
