By Anders Hartmann, Per Fauchald (auth.), Inge B. Brekke MD, PhD, Audun Flatmark MD, PhD (eds.)
The topic of this ebook is salvage of kidney functionality in sufferers with quite a few surgically correctable issues affecting one or either kidneys. Preoperative work-up, and surgical and postoperative administration are defined intimately. the focal point is on tools of bench surgical procedure and next autotransplantation of the kidney(s) besides the applicability and perfect result of those systems. many of the options are good illustrated through drawings and X-rays. Physicians of some of the disciplines will examine that renal autotransplantation may be thought of in sufferers being affected by renovascular high blood pressure, renal melanoma, and intricate urinary calculous sickness, or different complicated renal/ureteral issues: for instance, extracorporeal surgical procedure and autotransplantation bargains optimum stipulations for renovascular reconstruction. The method offers very good long term ends up in the remedy of recurrent nephrolithiasis and ureteral lesions, and represents a legitimate replacement to nephrectomy and dialysis remedy in sufferers with renal carcinoma.
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Extra info for Extracorporeal Renal Surgery and Autotransplantation
Medicine 564:29-44 Holley KE, Hunt JC, Brown AL, et al. (1964) Renal artery stenosis: a clinical pathologic study in normotensive and hypertensive patients. Am J Med 37:14-22 Hostetter TH, Olson JL, Rennke HG et al. (1981) Hyperfiltration in remnant nephrons: a potentially adverse response to renal ablation. Am J Physiol 245:F85- F93 Kasiske BL (1987) Possible causes and consequences of hypertension in stable renal transplant patients. Transplantation 44:639 Knuepfer MM, Schramm LP (1987) The conduction velocities and spinal projections of single renal afferent fibres in the rat.
A patient treated with renal autotransplantation mayor may not have the contralateral kidney in situ. In a few cases both kidneys are autotransplanted. The relative function of a transplant in the iliac fossa and a kidney in situ, or of two transplants, can also be estimated. However, the different locations of the transplant and in situ kidney have a significant impact on the relative count rate, as recorded with an external probe detector or gamma camera. The difference in depth from skin to kidney gives a difference in tissue attenuation.
18 1. Effects of Renovascular Disease and Autotransplantation on Blood Pressure and Renal Function References Barajas L (1978) Innervation of the renal cortex. Fed Proc 37:192-201 Barajas L, Powers K, Wang P (1984) Innervation of the renal cortical tubules: a quantitative study. Am J PhysioI247:F50-F60 Barajas L, Liu L, Powers K (1992) Anatomy of the renal innervation: intrarenal aspects and ganglia of origin. Can J Physiol PharmacoI70:735-49 Barendregt JNM, van Nispen tot Pannerden LLAM, Chang PC (1995) Interactions between sodium balance, intrarenal dopamine synthesis, and sympathetic activity in HLA-identical kidney donors and recipients Nephrol Dial Transplant 10:341-348 Bell GM, Reid J, Buist TAS (1987) Percutaneous transluminal angioplasty improves blood pressure and renal function in renovascular hypertension.