Subcapsular hematoma evacuation as a method of evaluating injured kidneys for transplant
| Autor: | Allison Hoffman, Yuriy Yushkov, Anthony Giudice |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Renal parenchyma New York Nephrectomy Donor Selection Parenchyma medicine Humans Trauma victims Transplantation Hematoma business.industry Dissection Organ Preservation Subcapsular Hematoma Kidney Transplantation Surgery Subcapsular Renal Hematoma surgical procedures operative Treatment Outcome Tissue and Organ Harvesting Drainage Kidney Diseases business Donor kidney Follow-Up Studies |
| Zdroj: | Progress in transplantation (Aliso Viejo, Calif.). 18(1) |
| ISSN: | 1526-9248 |
| Popis: | Background Approximately one-third of organ donors in the United States are trauma victims. In general, kidneys with large subcapsular hematomas are not used for transplant because of the possibility of significant parenchymal injury. A large subcapsular renal hematoma may cause scarring resulting in renal parenchymal compression and development of the Page syndrome. Objective To elucidate a successful method of evaluating kidneys subject to trauma, while also possibly preventing further damage and improving their function. Design Data were collected from the donor kidney pool of the New York Organ Donor Network from January 2006 through July 2007. Four kidneys during that period were determined to have significant subcapsular hematomas. Surgical intervention was undertaken and outcomes after transplantation were reviewed. Main Outcome Measures Four of the kidneys underwent a surgical procedure to drain the subcapsular hematoma allowing assessment of the underlying renal parenchyma. All 4 of these kidneys were deemed transplantable. After transplantation, 3 of the 4 kidneys had immediate function and did not require dialysis. The remaining kidney was removed as a result of primary nonfunction. Conclusion The described surgical intervention allows the transplant surgeon to accurately assess the extent of damage to a traumatized kidney while possibly preventing further damage to the kidney. |
| Databáze: | OpenAIRE |
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