Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Hau, HM; Morgul, HM; Uhlmann, D; Thelen, A; Fellmer, P; Benckert, C; Tautenhahn, HM; Bartels, M; Jonas, S.
Horseshoe kidney for transplantation: technical considerations.
Scand J Urol. 2013; 47(1): 76-9.
Doi: 10.3109/00365599.2012.704940
(- Case Report)
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- Führende Autor*innen der Med Uni Graz
- Hau Hans-Michael
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- Abstract:
- Owing to the ongoing shortage of cadaver organs, kidneys with an atypical anatomy such as horseshoe kidneys must be considered for transplantation. Owing to its low prevalence, experience with the transplantation of a horseshoe kidney is very limited. This article reports on the transplantation of a horseshoe kidney to a 58-year-old man with renal failure from chronic glomerulonephritis. Because of a relatively thick isthmus, which indicated a complex urinary collecting and intrarenal vessel system, the kidney was transplanted en bloc. Together with optimal placement of the kidney, only adequate length and positioning of the vessels, especially the venous drainage, could prevent postoperative complications such as kinking of the vessels and thrombosis. These problems could be solved by cutting the renal veins without using a vena cava patch. Careful positioning of the kidney within the intraperitoneal cavity is also necessary. The decision to transplant the kidney en bloc or after separation depends on many factors and should be made individually.
- Find related publications in this database (using NLM MeSH Indexing)
- Blood Pressure - physiology
- Creatinine - blood
- Glomerulonephritis - surgery
- Humans - administration & dosage
- Kidney - abnormalities, physiology, surgery
- Kidney Transplantation - methods
- Male - administration & dosage
- Middle Aged - administration & dosage
- Renal Insufficiency - surgery
- Tissue and Organ Procurement - standards
- Treatment Outcome - administration & dosage
- Find related publications in this database (Keywords)
- horseshoe kidney
- kidney transplantation
- renal abnormality
- surgical technique