Technical Aspects of Kidney Transplant and Salvage Procedures for Technical Complications in the Child

Reference work entry
Part of the Organ and Tissue Transplantation book series (OTT)

Abstract

Kidney transplantation is a lifesaving therapy for children with end-stage renal disease. Several important factors impact the technical aspect of the procedure for children. Their blood vessels are smaller in caliber, making technique an even more critical part of a successful transplant procedure. Discrepancies between the size of the donor kidney, which often comes from an adult, into a small pediatric recipient can necessitate substantial modifications to the procedure. Additionally, children with obstructive uropathies can have smaller bladders and conduits, making ureteral implantation more challenging. Despite all of these aspects, renal transplantation is a lifesaving operation that allows children with end-stage renal disease to live a higher-quality life than they could expect with dialysis. These patients can be hopeful of graft function in excess of 20 years.

Keywords

Anastomosis Children Extraperitoneal Growth failure Kidney transplant Lymphocele Nephroureterectomy Neurogenic bladders Obstructive uropathy Peritoneal dialysis Renal replacement therapy Transplant renal artery stenosis Ureteral implantation Ureteroneocystostomy Ureteroureterostomy Renal vein thrombosis Renal artery thrombosis Bladder augmentation Vascular reconstruction 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Virginia School of MedicineCharlottesvilleUSA

Section editors and affiliations

  • Bruce Kaiser
    • 1
  1. 1.Division of Solid Organ Transplantation, EmeritusAlfred I. duPont Hospital for ChildrenWilmingtonUSA

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