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Successful en bloc transplantation of a horseshoe kidney without division of the isthmus : first case reported in South Africa

dc.contributor.authorZarrabi, A. D.en_ZA
dc.contributor.authorWessels, S. G.en_ZA
dc.contributor.authorVlok, L.en_ZA
dc.contributor.authorVan der Merwe, A.en_ZA
dc.date.accessioned2020-03-04T14:04:10Z
dc.date.available2020-03-04T14:04:10Z
dc.date.issued2018
dc.identifier.citationZarrabi, A. D., et al. 2018. Successful en bloc transplantation of a horseshoe kidney without division of the isthmus : first case reported in South Africa. South African Journal of Surgery, 56(1):43-45, doi:10.17159/2078-5151/2017/v56n1a2174
dc.identifier.issn2078-5151 (online)
dc.identifier.issn0038-2361 (print)
dc.identifier.otherdoi:10.17159/2078-5151/2017/v56n1a2174
dc.identifier.urihttp://hdl.handle.net/10019.1/107582
dc.descriptionCITATION: Zarrabi, A. D., et al. 2018. Successful en bloc transplantation of a horseshoe kidney without division of the isthmus : first case reported in South Africa. South African Journal of Surgery, 56(1):43-45, doi:10.17159/2078-5151/2017/v56n1a2174.
dc.descriptionThe original publication is available at http://www.scielo.org.za
dc.description.abstractThis case is the first report of an en bloc transplantation of a horseshoe kidney in South Africa. The graft anatomy included complete fusion of the lower poles of the two kidney units with a single artery and vein associated with each unit. The thick isthmus of the graft kidney was supplied by a single, large caliber anomalous artery. Bench work (total duration 160 minutes) included the preparation of a short segment of donor aorta and IVC (containing the renal vessels) which were anastomosed to the recipient common iliac artery and common iliac vein respectively. The artery of the isthmus was anastomosed to the recipient right internal iliac artery. The graft was placed intraperitoneally. Cold ischaemia time was 15 hours, warm ischaemia time 144 minutes, total procedure time 450 minutes and estimated blood loss 1100 ml. Renogram (99mTc MAG-3) on days 1, 3 and 14 postoperatively revealed ATN. Hospital stay was 17 days and nadir creatinine at 6 weeks was 77 μmol/l.en_ZA
dc.description.urihttp://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0038-23612018000100012
dc.format.extent3 pages
dc.language.isoen_ZAen_ZA
dc.publisherHealth and Medical Publishing Group
dc.subjectKidneys -- Transplantation -- South Africaen_ZA
dc.subjectKidneys -- Abnormalities -- Surgeryen_ZA
dc.subjectHorseshoe kidneys -- Surgeryen_ZA
dc.titleSuccessful en bloc transplantation of a horseshoe kidney without division of the isthmus : first case reported in South Africaen_ZA
dc.typeArticleen_ZA
dc.description.versionPublishers version
dc.rights.holderAuthors retain copyright


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