A Case Report of Successful Transplantation of a Lacerated Cadaveric Kidney

We present a case of successful transplantation of a lacerated cadaveric kidney. There have been very few case reports where a lacerated kidney has been transplanted. We accepted a waiver kidney which had a laceration near the lower pole, which was rejected patients in the priority list. This presented a big surgical and medical hurdle to us. To prevent bleeding after re-anastomosis, the kidney was repaired with interrupted prolene sutures and a polypropylene mesh was sutured to form a sling around the lower pole. Blood pressure was maintained in the low normal range to prevent the expansion of hematoma. The patient attained normal serum creatinine. Thus, in a country with severe organ shortages and organs that are marginal or that may be discarded can be utilized to achieve excellent results with appropriate measures and surgical technique.

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Publication Details

Journal
Indian Journal of Transplantation
Published
2025-04-01
DOI
https://doi.org/10.4103/ijot.ijot_114_24
Primary Topic
Organ Transplantation Techniques and Outcomes
Type
article
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article

A Case Report of Successful Transplantation of a Lacerated Cadaveric Kidney

Prabhu Kanchi, V. P. John Pandian, L. Mahendra Varman, Neelamegam Kapali
Indian Journal of Transplantation
Organ Transplantation Techniques and Outcomes
article

A Case Report of Successful Transplantation of a Lacerated Cadaveric Kidney

Prabhu Kanchi, V. P. John Pandian, L. Mahendra Varman, Neelamegam Kapali
article en

Abstract

We present a case of successful transplantation of a lacerated cadaveric kidney. There have been very few case reports where a lacerated kidney has been transplanted. We accepted a waiver kidney which had a laceration near the lower pole, which was rejected patients in the priority list. This presented a big surgical and medical hurdle to us. To prevent bleeding after re-anastomosis, the kidney was repaired with interrupted prolene sutures and a polypropylene mesh was sutured to form a sling around the lower pole. Blood pressure was maintained in the low normal range to prevent the expansion of hematoma. The patient attained normal serum creatinine. Thus, in a country with severe organ shortages and organs that are marginal or that may be discarded can be utilized to achieve excellent results with appropriate measures and surgical technique.

Indian Journal of TransplantationVol. 19(2)
Sooriya Hospital (IN), Institute of Medical Sciences (IN)
Openalex Percentile: Top 74%
Organ Transplantation Techniques and Outcomes
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A Case Report of Successful Transplantation of a Lacerated Cadaveric Kidney — Prabhu Kanchi, V. P. John Pandian, et al. · Indian Journal of Transplantation (2025) | TGRS Research Map | TGRS