Related Experiment Video
Updated: Oct 29, 2025
Mouse Kidney Transplantation: Models of Allograft Rejection
Published on: October 11, 2014
Transplantation of En Bloc Pediatric Kidneys With a Bladder Segment Patch After a Complex Vascular Reconstruction: A
Javier Gonzalez1, Akin Tekin2, Paolo Vincenzi2
1Department of Urology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Background:
En bloc pediatric kidney (EBPK) allografts represent one potential solution to increase the number of organs available in the donor pool, thus facilitating transplantation of kidneys from young donors into adult recipients. However, EBPK transplantation has been traditionally considered suboptimal because of concerns for perioperative complications.
Methods:
An extensive reconstruction and successful transplantation of an EBPK allograft using same pediatric donor vascular grafts and a bladder patch aiming to avoid postoperative complications is presented in this report.
Results:
The warm ischemia time was 25 minutes. No surgical drainage or ureteral stent were used. Postoperative Doppler ultrasound showed laminar blood flow and normal parameters in both the external iliac and graft arteries, no collections, and no signs of obstructive uropathy. The patient had an uneventful recovery showing a creatinine level of 0.86 mg/dL and 0.85 mg/dL at 1 month and 3 months, respectively.
Conclusions:
A refined back-table reconstruction of these allografts is crucial to avoid mishaps in the postoperative period.
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01:28Kidney Transplant I: Introduction