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Kidney Transplant — Recipient Surgery

Placement of a donor kidney in the iliac fossa.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Kidney Transplant — Recipient Surgery?

Kidney transplantation (renal allograft transplantation) places a kidney from a living or deceased donor extraperitoneally in the recipient’s iliac fossa, with anastomosis of the renal artery and vein to the iliac vessels and reimplantation of the ureter into the bladder.

The left donor kidney is usually placed in the right iliac fossa and vice versa. Arterial anastomosis is end-to-side to the external iliac artery (living donor) or internal iliac artery (deceased donor).

Ureteric reimplantation uses an anti-reflux technique (Lich–Gregoir or Politano–Leadbetter). Postoperative immunosuppression, rejection monitoring and infection prophylaxis are essential.

Symptoms

End-stage kidney disease
Dialysis-dependent patients
Suitable living or deceased donor available
Intolerance of haemodialysis or peritoneal dialysis
Pre-emptive transplantation before dialysis
Chronic nephritis (IgA, membranous)
Polycystic kidney disease
Diabetic nephropathy with adequate work-up

Risk Factors

Acute and chronic rejection
Delayed graft function (DGF)
Arterial or venous thrombosis
Urinary leak (3–5%)
Ureteric stricture
Lymphocele
Infection (CMV, BK virus, bacterial)
Malignancy (long-term immunosuppression)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Fever or malaise
  • Flank pain (rejection or complication)
  • Inability to void
  • Increased drain output or wound problems
  • Painful or tender graft

Treatment Methods

01
Cross-match and sensitivity testing
02
Initiation of preoperative immunosuppression
03
Pfannenstiel or hockey-stick incision
04
Entry into the retroperitoneum and identification of iliac vessels
05
End-to-side renal vein to external iliac vein anastomosis
06
End-to-side renal artery to external iliac artery anastomosis
07
Assessment of perfusion and vascularity
08
Ureter-to-bladder Lich–Gregoir reimplantation with DJ stent

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.