A safe technique for renal transplantation in patients with severely infected bladders

A new surgical technique has been devised for the prevention of wound infection in cadaveric renal transplant recipients with severely infected bladders; the ascending colon is mobilized through a transperitoneal approach. The peritoneum covering the iliac vessels are retracted after blunt dissection, thereby forming a pouch. After completion of the vascular anastomoses, the ureter is brought into the peritoneal cavity through a small hole made in the peritoneum. The ascending colon is refixed to the abdominal wall so that the graft is separated from the bladder. No local or systemic infection occurred in two patients with purulent infection of the bladder who were operated upon with this technique.