Intercity deceased donor renal transplantation: A single-center experience from a developing country.

Intercity deceased donor renal transplantation: A single-center experience from a developing country. Saudi J Kidney Dis Transpl. 2013 Nov-Dec;24(6):1280-4 Authors: Mehta TR, Shah VR, Butala BP, Parikh GP, Parikh BK, Vora KS, Modi MP, Bhosale GP, Kadam PG, Shah PR, Gumber MR, Patel HV, Kute VB, Modi PR, Rizvi SJ, Vanikar AV, Trivedi HL Abstract In a developing country such as India, deceased donor renal transplantation (DDRTx) accounts for only about 1% of all renal transplants (RTx). Our institute initiated an intercity DDRTx in the year 2006, which significantly increased the number of RTx. We retrieved 74 kidneys from 37 deceased donors from various cities of Gujarat from January 2006 to December 2009. We transplanted the allografts in 66 recipients and a retrospective analysis of the donor profile and management and recipient outcome was performed. The mean age of the donors was 43.3 ± 18.8 years. The causes of death included road traffic accident in 51.35% of the donors and cerebrovascular stroke in 48.65% of the donors; 83.78% of the donors required ionotropes for hemodynamic stability in addition to vigorous intravenous fluid replacement. The average urine output of the donors was 350 ± 150 mL. The organs were perfused and stored in HTK solution. The mean cold ischemia time (CIT) was 9.12 ± 5.25 h. The mean anastomosis time in the recipient was 30.8 ± 8.7 min. 57.6% of the recipients established urine output on the operating table a...
Source: Saudi Journal of Kidney Diseases and Transplantation - Category: Urology & Nephrology Authors: Tags: Saudi J Kidney Dis Transpl Source Type: research