Definition The implantation of a kidney from a living donor or cadaver donor (kidney harvesting) to a tissue-matched recipient. Discussion Kidney transplantation is usually performed on an otherwise healthy patient who suffers from renal failure. The donor should be a close family member (twin, sibling, parent). Two surgical teams may work simultaneously if the procedure involves a living donor. If the transplant is from a cadaver donor, a team from the transplant centers removes the cadaver’s donor’s kidney for external perfusion prior to implantation, to minimize the time that elapses between the recipient’s nephrectomy and the implantation of the donor kidney (4-6 hours after removal, with a maximum time of 72 hours). Contraindications for kidney transplantation include: Systemic disease that precludes major surgery. Active cancer. Oxalosis (an autosomal recessive hereditary disease). Fabry’s disease (an inherited metabolic disease ...
Posted on: Thu, 01 May 2014 11:49:05 +0000
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