Youngest en-bloc kidney transplant recipient in India: defying the barriers and challenges with teamwork.

Autor: Ajmera, Jagadeep, Pol, Manjunath Maruti, Bagga, Arvind, Sinha, Aditi
Zdroj: BMJ Case Reports; May2023, Vol. 16 Issue 5, p1-5, 5p
Abstrakt: We received a call from a transplant coordinator about the availability of a consented deceased donor. En-bloc kidneys with the aorta and IVC (inferior vena cava) were harvested from a toddler weighing 8 kg. The recipient was of early childhood weighing 14 kg who had been on haemodialysis for the last 3 years for end-stage kidney disease. He received anti-thymocyte globulin as an induction immunosuppressant. The kidneys were transplanted en bloc in the right lower quadrant retroperitoneal region; an anastomosis was performed to the recipient’s aorta and IVC, and two separate neocystoureterostomies were created. His serum creatinine reached 0.5mg/dL on the seventh postoperative day, following a few days of delayed graft function. In this study, we describe the surgical and nonsurgical challenges that we faced while performing enbloc kidney transplant to the youngest recipient and how a multidisciplinary team approach helped us overcome them. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index