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PubMed1995

[An analysis of the anomalies, pathologies and iatrogenic diseases in the kidney graft: an evaluation of bench surgery].

OBJECTIVES: This study analyzes the anomalies, pathologies and iatrogenic lesions of renal grafts, their impact on graft viability and the possibilities of repair. METHODS: From 1980 to 1983, 315 kidneys were available for transplantation; 50 were from living donors and 265 from cadavers. Of the 265 cadaver grafts, our staff harvested 173 and 92 came from other centers. Of these, 113 (42.6%) presented anomalies, pathologies or iatrogenic lesions requiring surgical repair. RESULTS: 13 kidneys were not suitable for transplantation due to pathologies. Sixty-one grafts presenting anomalies and pathologies, and 38 with iatrogenic lesions were repaired by bench surgery. CONCLUSIONS: Although there was a high incidence of anomalies, pathologies or iatrogenic lesions (42.6%), repair by bench surgery permitted transplantation of these grafts and only 6 (3.01%) allografts required subsequent removal, which is a low incidence considering that a higher percentage of kidneys are lost due to family refusal (19%) or as a result of legal problems.

Cadaver↗