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Volume: 6 Issue: 4 November 2008 - Supplement - 1

FULL TEXT

MODIFIED ANTERIOR ABDOMINAL DONOR NEPHRECTOMY IS SAFE AND COMPARABLE WITH LAPAROSCOPIC DONOR NEPHRECTOMY

Kidney transplantation is the best option for treatment of chronic renal failure because quality of life in this treatment is good and also it is cost benefitual. The main problem with it is donor shortage. Recently with the introduction of the laparoscopic procedure for nephrectomy it was assumed that live donor will be increased because the laparoscopic incision is small and the time of hospitalization is short, but the long warm ischemic time and effect of this on long time survival of graft is a challenge. Here we introduce a modified anterior abdomen incision for donor nephrectomy with advantages of the laparoscopic approach but with short warm ischemia and operating time. In fifteen donors after flank positioning, an incision in the upper side of abdomen between the rectus and the tip of the ribs was carried out (very small incision about 10 cm) kidney was exposed and after skeltonizing kidney and ureter, nephrectomy done. Wall of abdomen after lidocaine infiltration in wound was repaired with plastic sutures. With this small incision and plastic repairmen without drain and rib resection the patients were discharged after two days post operation with lesser pain compared with our previous experiences. Modified anterior abdomen incision is safe and comparable with the laparoscopic procedure and it may be advised in centers where laparoscopic operation is not possible.



Volume : 6
Issue : 4
Pages : 181


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transplant service, imam hospital ,Tabriz medical science University–Iran