Absorbable mesh envelope facilitates handling of pediatric en bloc kidneys during transplantation.
There is increasing evidence to favor the use of pediatric en bloc kidneys in renal transplantation. However, from a technical standpoint, pediatric en bloc renal transplantation is more complex because of difficulty in optimal intraoperative handling and positioning, as well as a higher potential for vascular complications. We describe our experience with a technique that has helped us to minimize the technical difficulties associated with the surgical procedure. Use of a tailored absorbable mesh envelope improves handling of the en bloc pediatric kidneys during performance of the vascular anastomoses and reduces the risk of torsion of renal pedicles.
Kumar
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Department of Urology, Cleveland Clinic Foundation, Ohio 44195, USA.
Gill
I S
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D020341:Absorbable Implants; D000714:Anastomosis, Surgical / Q000379:methods; D001012:Aorta, Abdominal / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007084:Iliac Vein / Q000601:surgery; D007431:Intraoperative Complications / Q000517:prevention & control*; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D012680:Sensitivity and Specificity; D013048:Specimen Handling / Q000379:methods*; D016683:Supine Position; D013526:Surgical Mesh; D014019:Tissue Donors; D014102:Torsion Abnormality / Q000517:prevention & control; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000517:prevention & control; D014682:Vena Cava, Inferior / Q000601:surgery