RT Book, Section
A1 Molmenti, Ernesto P
A2 Molmenti, Ernesto Pompeo
SR Print(0)
ID 1194188371
T1 Allograft Nephrectomy
T2 Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781260474275
LK accesssurgery.mhmedical.com/content.aspx?aid=1194188371
RD 2024/04/18
AB In  general,  failed  allografts  are  removed  only  when  there  is  a  specific  indication  for  it.In  the  case  of  recent  transplants,  usual  indications  include  necrosis  of  the  organ  with  its  associated  urinary  leaks,  bleeding,  and  sepsis.In  the  case  of  long-standing  transplants,  indications  include  recurrent  episodes  of  rejection,  bleeding,  pain,  infections,  tumors,  need  to  place  a  new  allograft  in  that  specific  space.Although  considered  as  a  simple  procedure  by  many,  allograft  nephrectomies  can  be  associated  with  major  complications  and  should  not  be  underestimated.Embolization  of  the  transplant  renal  artery  (as  well  as  vein)  by  interventional  radiology  prior  to  the  procedure  can  facilitate  the  intervention  and  make  it  safer.