Transplant Nephrectomy

Transplant nephrectomy is the surgical removal of a kidney transplant. The indications for transplant nephrectomy include irreversible technical complications that result in acute failure of the transplant, hyperacute rejection, and chronic loss of renal allograft function associated with local or systemic signs of symptoms. Transplant nephrectomy may be required within days of the transplant or even years after a transplant has failed.

If transplant nephrectomy is performed within a couple months of the initial transplant procedure the kidney can be removed by taking down the easily identifiable vascular structures and ureter. For kidney allografts that have been in the retroperitoneal space for longer, the plane of dissection between the peritoneum and the renal capsule cannot be developed. The subcapsular nephrectomy tech-

0 0

Post a comment