Aurelus PJ, Ortiz GR, Rendón MME, Ortega RMC, Oliver GE, Salustiano TJ, Cuervo ME

Language: Spanish
References: 11
Page: 110-119
PDF size: 560.87 Kb.

ABSTRACT

Introduction: One alternative to decrease the number of patients on the waiting list for kidney transplantation is accept from marginal donors, such as, kidneys from young donors of less than three years old, however, those kidneys have been transplanted in block. The Schleider technique is the more using with the possibility to cause early graft failure in 80 % by ischemic for thrombosis complications an inadequate kidney positioning. The objective of this study is showing the efficacy of a new surgical technique (Jean /Ortiz) to minimize those complications.
Patient and Method: Longitudinal, observational and prospective study in five pediatrics patients above 11 years old with block kidneys transplantation from donors less than three years old .The technique using end-to-end anastomosis of the iliac intern artery to the aortic artery with an abdominal-pelvic position. We evaluated artery and veins complications and graft survival.
Results: We did not have evidence of graft failure, stenosis and thrombosis by gammagraphic and ecographic studies during three years of following. One patient had urinary fistulae that resolved by urethra catheterization for two weeks. The serum creatinina diminished to a median of 1.6 mg/dl (minimum 1.2 and maximum 2.4 mg/dl) 48 hours after transplantation.
Conclusion: Jean/Ortiz technique for block kidney transplantation, looks like a good alternative to diminished block kidneys complications associated to the position and perfusion of kidneys and at the same time giving a major graft survival.

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