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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
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Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in critically...

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Related Experiment Video

Updated: Jul 13, 2026

A Modified Surgical Technique for Kidney Transplantation in Mice
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Published on: July 22, 2022

Intraoperative coil embolization reduces transplant nephrectomy transfusion requirement.

David G Neschis1, Rao Gutta, Hosam S Al-Qudah

  • 1Divisions of Vascular Surgery, University of Maryland Medical Cebter, Baltimore, Maryland 21201, USA. dneschis @smail.umaryland.edu

Vascular and Endovascular Surgery
|August 21, 2007
PubMed
Summary

Intraoperative coil embolization of the transplant renal artery before transplant nephrectomy significantly reduces blood loss and transfusion needs. This procedure also slightly decreases open operative time in patients with failed renal transplants.

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Murine Kidney Transplant Technique
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Last Updated: Jul 13, 2026

A Modified Surgical Technique for Kidney Transplantation in Mice
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Published on: July 22, 2022

Murine Kidney Transplant Technique
08:58

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Published on: October 20, 2015

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Transplant nephrectomy for failed renal allografts presents surgical challenges, including significant blood loss and patient comorbidities.
  • Minimizing intraoperative blood loss is crucial for patient safety and outcomes during these complex procedures.

Purpose of the Study:

  • To evaluate the efficacy of intraoperative coil embolization of the transplant renal artery in reducing blood loss during transplant nephrectomy.
  • To compare operative time, estimated blood loss, and transfusion requirements between patients who underwent embolization and those who did not.

Main Methods:

  • A retrospective study comparing 13 transplant nephrectomies with immediate pre-operative coil embolization of the transplant renal artery to 13 control cases without embolization.
  • Data collected included operative time, estimated blood loss, and packed red blood cell transfusion requirements.

Main Results:

  • The embolization group showed significantly reduced estimated blood loss (198 mL vs. 465 mL, P = .035).
  • Transfusion requirements were significantly lower in the embolization group (0.31 units vs. 1.85 units within 48 hours, P = .008; 0.69 units vs. 2.3 units during hospital stay, P = .027).
  • Open operative time was slightly reduced in the embolization group (96 minutes vs. 113 minutes).

Conclusions:

  • Intraoperative coil embolization of the transplant renal artery is an effective strategy to reduce blood loss and transfusion needs during transplant nephrectomy.
  • This technique facilitates the procedure, potentially improving patient outcomes by minimizing surgical complications associated with hemorrhage.