[Second transplant into the same iliac fossae: The importance of first transplant location]

To report our personal experience in the reusability of the iliac fossa for renal transplantation (RT) when there are not more favorable options.

Of a total of 645 kidney transplantations, which include 52 living-donor transplantations, and three combined kidney-pancreas ones, we have selected seven, in six patients, in whom the same iliac fossa of a previous RT was reused.

The cases reported were preceded by renal grafts placed on lumbariliac position, as Gil Vernet described at 1964, varying the classic situation. Transplantectomies were always performed using the extra capsular technique. We do think that those two circumstances have facilitated the second location of the graft.