Beyond the Limits: How to Avoid a Surgical Nightmare in the Third and Subsequent Renal Transplantation Procedures

Overview

Journal Curr Urol Rep

Publisher Current Science

Specialty Urology

Date 2020 Mar 14

PMID 32166418

Citations 1

Authors

Enrique Lledo-Garcia

Javier Gonzalez

Elena Martinez-Holguin

Felipe Herranz-Amo

Carlos Hernandez-Fernandez

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: Approximately, 25% of the patients with ESRD will enter the waiting list for kidney transplantation. Among these patients, almost 15% will require a retransplantation surgery. This review aims to summarize the most recent information on different controversial issues regarding retransplantation, to provide the reader with a clear and updated view on the topic.

Recent Findings: Despite current evidence is mainly based on retrospective, small, single-center experiences, it seems clear that retransplantation remains a surgical and immunological challenge, for which the perioperative management still remains crucial to avoid mishaps. Different surgical approaches have been tested, but the general consensus advocates for the heterotopic extraperitoneal in first instance. Although higher immunological risk and complication rates are reported invariably in the available series, the benefits in terms of overall survival are superior to those obtained under dialysis, thus still representing the most recommended option for this group of patients.

Citing Articles

Kidney re-transplantation in the ipsilateral iliac fossa: a surgeon's perspective on perioperative outcome.

Tessmer P, Weigle C, Meyer A, Wiemann B, Gwinner W, Einecke G Clin Kidney J. 2024; 17(9):sfae271.

PMID: 39323730 PMC: 11422716. DOI: 10.1093/ckj/sfae271.

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