Donor gonadal vein reconstruction for extension of the transected renal vessels in living renal transplantation

Introduction: Donor gonadal vein is a readily available vascular reconstruction material for vascular reconstruction, for difficult situations, in living related renal transplantation. Vein extension with the gonadal vein has been described as a simple and safe method to elongate renal vein especial...

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Main Authors: Muthu Veeramani, Vikas Jain, Arvind Ganpule, R B Sabnis, Mahesh R Desai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Indian Journal of Urology
Subjects:
Online Access:http://www.indianjurol.com/article.asp?issn=0970-1591;year=2010;volume=26;issue=2;spage=314;epage=316;aulast=Veeramani
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author Muthu Veeramani
Vikas Jain
Arvind Ganpule
R B Sabnis
Mahesh R Desai
author_facet Muthu Veeramani
Vikas Jain
Arvind Ganpule
R B Sabnis
Mahesh R Desai
author_sort Muthu Veeramani
collection DOAJ
description Introduction: Donor gonadal vein is a readily available vascular reconstruction material for vascular reconstruction, for difficult situations, in living related renal transplantation. Vein extension with the gonadal vein has been described as a simple and safe method to elongate renal vein especially in right living donor kidneys. We applied the donor gonadal vein for lacerated accessory renal artery and renal vein reconstruction. Materials and Methods: The donor gonadal vein was used to reconstruct the lacerated accessory renal artery in one patient. The donor gonadal vein was isolated, used as an interposition graft to bridge the gap between transected accessory renal artery and external iliac artery of the recipient. In another patient, gonadal vein was used to reconstruct short right renal vein, which got damaged during retrieval. Results: This technique resulted in a tension-free anastomosis. There were no procedure related complications. The ischemia time remained within acceptable limits and grafts showed excellent outcomes. Conclusions: The use of gonadal vein for renal vascular reconstruction seems to be an acceptable option during living related renal transplantation, lest the need arise, with no increased graft morbidity.
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spelling doaj.art-efc1fb9c4c9f4dea8c303c9199793cb62022-12-22T01:08:58ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242010-01-0126231431610.4103/0970-1591.65417Donor gonadal vein reconstruction for extension of the transected renal vessels in living renal transplantationMuthu VeeramaniVikas JainArvind GanpuleR B SabnisMahesh R DesaiIntroduction: Donor gonadal vein is a readily available vascular reconstruction material for vascular reconstruction, for difficult situations, in living related renal transplantation. Vein extension with the gonadal vein has been described as a simple and safe method to elongate renal vein especially in right living donor kidneys. We applied the donor gonadal vein for lacerated accessory renal artery and renal vein reconstruction. Materials and Methods: The donor gonadal vein was used to reconstruct the lacerated accessory renal artery in one patient. The donor gonadal vein was isolated, used as an interposition graft to bridge the gap between transected accessory renal artery and external iliac artery of the recipient. In another patient, gonadal vein was used to reconstruct short right renal vein, which got damaged during retrieval. Results: This technique resulted in a tension-free anastomosis. There were no procedure related complications. The ischemia time remained within acceptable limits and grafts showed excellent outcomes. Conclusions: The use of gonadal vein for renal vascular reconstruction seems to be an acceptable option during living related renal transplantation, lest the need arise, with no increased graft morbidity.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2010;volume=26;issue=2;spage=314;epage=316;aulast=VeeramaniDonor gonadal veinlaparoscopic donor nephrectomyrenal transplantation
spellingShingle Muthu Veeramani
Vikas Jain
Arvind Ganpule
R B Sabnis
Mahesh R Desai
Donor gonadal vein reconstruction for extension of the transected renal vessels in living renal transplantation
Indian Journal of Urology
Donor gonadal vein
laparoscopic donor nephrectomy
renal transplantation
title Donor gonadal vein reconstruction for extension of the transected renal vessels in living renal transplantation
title_full Donor gonadal vein reconstruction for extension of the transected renal vessels in living renal transplantation
title_fullStr Donor gonadal vein reconstruction for extension of the transected renal vessels in living renal transplantation
title_full_unstemmed Donor gonadal vein reconstruction for extension of the transected renal vessels in living renal transplantation
title_short Donor gonadal vein reconstruction for extension of the transected renal vessels in living renal transplantation
title_sort donor gonadal vein reconstruction for extension of the transected renal vessels in living renal transplantation
topic Donor gonadal vein
laparoscopic donor nephrectomy
renal transplantation
url http://www.indianjurol.com/article.asp?issn=0970-1591;year=2010;volume=26;issue=2;spage=314;epage=316;aulast=Veeramani
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AT vikasjain donorgonadalveinreconstructionforextensionofthetransectedrenalvesselsinlivingrenaltransplantation
AT arvindganpule donorgonadalveinreconstructionforextensionofthetransectedrenalvesselsinlivingrenaltransplantation
AT rbsabnis donorgonadalveinreconstructionforextensionofthetransectedrenalvesselsinlivingrenaltransplantation
AT maheshrdesai donorgonadalveinreconstructionforextensionofthetransectedrenalvesselsinlivingrenaltransplantation