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Updated: Jun 18, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
[Better before than after?]
1Centro Trapianti Renali, Azienda Ospedaliero-Universitaria, Verona, Italy. centro.trapianti.renali@azosp.vr.it
Abstract:
Kidney transplantation before dialysis, or preemptive transplantation, is an optimal therapeutic strategy for end-stage renal disease and offers clinical advantages compared to post-dialysis transplant. Graft and patient survival rates have been shown to be comparable or even better for preemptive transplantation in different studies, avoiding the morbidities and cost of dialysis treatment. Nevertheless, it is not a realistic opportunity for the majority of patients and in our country it is performed only in living-donor, pediatric or combined kidney-pancreas transplantation. Right now, the length of the waiting list and the waiting times for cadaver donor kidneys are the most serious issues and call for ethical reflections. In transplantation, the individual medical advantage and social benefit should always converge.
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