Simultaneous transplant nephrectomy and ipsilateral second graft retransplantation.
Six cases of simultaneous transplant nephrectomy and retransplantation in the ipsilateral iliac fossa are presented. All primary grafts were lost due to chronic rejection. Patients were followed from forty-one to one hundred months after the second graft transplant. The sources for all grafts were either living related donors or cadavers. Graft nephrectomy was performed through the previous lower quadrant incision; the arterial and venous stumps of the primary grafts were used when possible. In all cases continuity of the urinary tract was reestablished with a Politano-Leadbetter ureteroneocystostomy. There appears to be no increased morbidity in any of these 6 cases, and the survival rate of the second graft is comparable to that of transplantation into the contralateral virginal fossa. Advantages of the simultaneous procedure are discussed.
D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation; D009392:Nephrectomy; D012086:Reoperation