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Title
1. Introduction
2. Exposure of Iliac Region
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a. Modified Gibson Incision
b. Dissect Through Lateral Abdominal Muscles
c. Mobilize Peritoneum Medially
d. Dissect to Retroperitoneal Space
e. Divide the Round Ligament
f. Expose External Iliac Artery
g. Expose External Iliac Vein
3. Preparation of the Kidney
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a. Verification of Kidney
b. Improve Length and Exposure of Vessels
c. Expose Ureter
d. Dissect Perinephric Fat
e. Shorten Renal Artery
f. Test Artery for Missed Branches
g. Preparation of Renal Vein
h. Test Vein for Missed Branches
i. Check Positioning
j. Spatulate Renal Artery
4. Renal Vein Anastomosis
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a. Venotomy Incision
b. Back Wall Anastomosis
c. Front Wall Anastomosis
5. Renal Artery Anastomosis
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a. Arteriotomy
b. Back Wall Anastomosis
c. Front Wall Anastomosis
d. Kidney Reperfusion
e. Assess Volume Status
f. Inspect Anastomoses
6. Ureter Anastomosis
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a. Divide Muscle to Mucosa
b. Shorten Ureter
c. Bladder Incision
d. Start Anastomosis
e. Place Stent
f. Complete Anastomosis
g. Evaluate Blood Flow
7. Closure
8. Post-op Remarks
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Recipient Kidney Transplant from a Living Donor
Maggie L. Westfal, MD, MPH
;
Nahel Elias, MD, FACS
Massachusetts General Hospital
Tags:
Urology
Transplant Surgery
Multidisciplinary Surgery
Main Text
Procedure Outline
Transcript
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Authors
Maggie L. Westfal, MD, MPH
Nahel Elias, MD, FACS
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
9/13/2023
Article ID
171
Production ID
0171
Volume
2023
Issue
171
DOI
https://doi.org/10.24296/jomi/171