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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

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Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in critically...

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Murine Renal Transplantation Procedure
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Published on: July 10, 2009

Back-Table Stone Removal During Renal Transplantation: A Systematic Review.

Ignacio Gondolesi1, Samer Jaber Di Tommaso1, Ron Shapiro2

  • 1Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Clinical Transplantation
|May 28, 2026
PubMed
Summary
This summary is machine-generated.

Kidney stones (nephrolithiasis) are no longer a contraindication for kidney donation. Ex vivo stone management during transplantation is safe and effective, expanding the donor pool despite low-quality evidence.

Keywords:
kidney calculikidney transplantationnephrolithiasispyelotomyureteral calculiureteroscopyurolithiasis

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Area of Science:

  • Nephrology
  • Urology
  • Transplantation Surgery

Background:

  • Nephrolithiasis was a relative contraindication for kidney donation.
  • Donor kidney shortages necessitate expanding the donor pool.
  • Ex vivo stone management during renal transplantation is an emerging strategy.

Purpose of the Study:

  • To review the current state of ex vivo stone management techniques for kidney donors.
  • To assess the safety, feasibility, and outcomes of these procedures.

Main Methods:

  • Systematic literature review of PubMed, Scopus, Web of Science, and LILACS.
  • Inclusion of English and Spanish studies on back-table stone removal.
  • Risk of bias assessment using Joanna Briggs Institute tools.

Main Results:

  • 40 manuscripts with 371 cases were included.
  • High procedural success rates with low recurrence and complication rates.
  • Mean procedure time was 19.8 minutes; minimal impact on allograft function.

Conclusions:

  • Urolithiasis should not contraindicate kidney donation.
  • Back-table stone management is safe and feasible.
  • Further research is needed to standardize techniques and patient selection.