Renal Transplantation 3

Live Doner Nephrectomy

*  The patient should receive a preoperative fluid and a diuresis

   should  be  stimulated by the  administration  of  intravenous

   Mannitol during the operation.

*  The  kidney  is usually  approached through  a  standard  loin

   incision excising the twelth rib

*  It is important to avoid damaging the hilum in mobilising  the

   kidney

*  Once the renal artery and the renal veins have been mobilised,

   the  ureter  shoud be carefully disected to the level  of  the

   pelvic brim. It is essential to preserve the periureteric  fat

   and connective tissue.

*  Once the ureter has been divided and ligated the renal vessels

   can be clamped and the kidney removed

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