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Updated: Jun 2, 2026

Orthotopic Rat Kidney Transplantation: A Novel and Simplified Surgical Approach
Published on: May 7, 2019
[Serendipity, beneficial error, and chance in the development of kidney transplantation]
1Chef de Service honoraire, Hôpital Erasme.
Abstract:
Serendipity played an essential role in two major developments of organ transplantation: the method of continuous hypothermic perfusion of the kidney and the introduction of ciclosporin in the clinical setting. An erroneous reasoning lead to the creation of an efficient preservation fluid: Collins's solution. However, these investigations would have failed without the open-mindedness and the tenacity of the clinicians.
Insights
Serendipity significantly advanced organ transplantation, leading to continuous hypothermic kidney perfusion and the use of ciclosporin. Clinician open-mindedness was crucial for these organ preservation and immunosuppression breakthroughs.
Area of Science:
- Transplantation immunology
- Organ preservation techniques
- Clinical pharmacology
Background:
- Organ transplantation faces challenges in graft survival and rejection.
- Effective organ preservation and immunosuppression are critical for success.
Observation:
- Serendipitous discoveries influenced key advancements in organ transplantation.
- Continuous hypothermic perfusion for kidney preservation emerged unexpectedly.
- Ciclosporin's introduction into clinical practice was also serendipitous.
Findings:
- An accidental reasoning led to the development of Collins's solution, an effective kidney preservation fluid.
- The clinical application of ciclosporin revolutionized immunosuppression in transplantation.
- These advancements highlight the role of chance and astute observation.
Implications:
- Serendipity can drive significant progress in medical science.
- Open-mindedness and perseverance in clinicians are vital for translating discoveries into practice.
- Further research into the mechanisms of serendipitous discoveries may yield new transplantation strategies.
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Kidney Transplant II: Surgical Procedure
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Kidney Transplant III: Nursing Management
Acute Kidney Injury I: Introduction
Acute Kidney Injury II: Pathophysiology
