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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2010-01-01
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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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format | Article |
id | doaj.art-efc1fb9c4c9f4dea8c303c9199793cb6 |
institution | Directory Open Access Journal |
issn | 0970-1591 1998-3824 |
language | English |
last_indexed | 2024-12-11T11:28:01Z |
publishDate | 2010-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Urology |
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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