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Howard Silberman, MD; Terrence J. Fitzgibbons, MD; John Butler, MD; Thomas V. Berne, MD

Arch Surg. 1980;115(1):42-43.

Abstract
• Twenty-four renal allografts functioning up to six years from the date of transplantation were retained in situ from four days to five years following return of the patient to hemodialysis. Fifteen of the 24 kidneys were removed for specific indications within four days to ten months. The reasons for allograft nephrectomy included fever, hematuria, graft pain and tenderness, and severe hypertension. Nine patients remained asymptomatic with grafts retained three months to five years (median, two years) following return to hemodialysis. It appears safe to retain nonfunctioning grafts in asymptomatic patients, thereby avoiding an unnecessary operation when failure is due to chronic rejection or recurrent glomerulonephritis. Nevertheless, in many patients complications eventually develop for which the allograft will be removed.

(Arch Surg 115:42-43, 1980)

Author Affiliations
From the Department of Surgery, University of Southern California and the Los Angeles County-University of Southern California Medical Center, Los Angeles.

Footnotes
Accepted for publication May 21, 1979.

Reprint requests to Department of Surgery, Los Angeles County-USC Medical Center, 1200 N State St, Los Angeles, CA 90033 (Dr Silberman).

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