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Lactated Ringer as Preservation Solution in Living Donor Renal Transplantation
Mehtap Akdogan1, Kenan Demirbakan2, Yunus Baydilek3
1Department of Nephrology, Sanko University Medical School, Gaziantep, Turkey.
Transplantation Proceedings
|May 18, 2023
Summary
Lactated Ringer is a safe and effective solution for preserving kidney allografts in living donor kidney transplantation. This inexpensive option demonstrates good patient and graft survival, making it a financially advantageous choice.
Area of Science:
- Nephrology
- Transplantation Surgery
- Organ Preservation
Background:
- Optimal organ preservation is crucial for renal transplantation success.
- The choice of preservation solution significantly impacts transplant outcomes.
- This study evaluates lactated Ringer for kidney allograft preservation in living donors.
Purpose of the Study:
- To present early follow-up results of graft and patient outcomes.
- To assess the efficacy of lactated Ringer in living donor kidney transplantation.
Main Methods:
- Retrospective evaluation of 97 living donor kidney transplant operations.
- Analysis of patient demographics, dialysis history, complications, graft function, and ischemia times.
- Inclusion of donor and recipient demographics, HLA compatibility, and hospitalization data.
Main Results:
- No primary nonfunction observed in 97 transplants.
- Delayed graft function occurred in 3.09% of patients, linked to post-transplant hypotension.
- Lactated Ringer showed efficacy in patient and graft survival.
Conclusions:
- Lactated Ringer is safe, effective, and inexpensive for living donor kidney transplantation.
- It offers a financial advantage with good patient and graft survival rates.
- Further randomized controlled studies are recommended, especially for longer ischemia times.
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