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Folkert O. Belzer, MD; Samuel L. Kountz, MD

AMA Arch Surg. 1969;99(4):467-469.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Retransplantation after failure of the first kidney is now a common occurrence. Usually, nephrectomy is done first and retransplantation is performed later. Hume¹ advises waiting at least 30 to 40 days between removal of the first transplant and placement of the second. However, with increased reliance on leukocyte typing,² a cadaver kidney may become available which matches a patient who is in good clinical condition, but is undergoing either acute or chronic rejection of his homograft. This offers the opportunity for retransplantation at the time of removal of the rejected graft, which spares the patient an additional operation and can provide him with a matched graft. Especially in cases of rare phenotypes, a matched graft might not become available for a long time and, therefore, should be used whenever possible. Recently, we have performed two renal allograft nephrectomies and immediate retransplantation, with good graft survival up to six months. . . . [Full Text PDF of this Article]

Author Affiliations
San Francisco

From the Department of Surgery, University of California School of Medicine, San Francisco.

Footnotes
Submitted for publication March 10, 1969.

Reprint requests to University of California Medical Center, Third and Parnassus avenues, San Francisco 94122 (Dr. Belzer).

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