Abstract
Introduction:Donor gonadal vein is a readily available vascular reconstruction material for vascular reconstruction, for difficult situations, in living related renal transplantation. Vein extension with the gonadal vein has been described as a simple and safe method to elongate renal vein especially in right living donor kidneys. We applied the donor gonadal vein for lacerated accessory renal artery and renal vein reconstruction.Materials and Methods:The donor gonadal vein was used to reconstruct the lacerated accessory renal artery in one patient. The donor gonadal vein was isolated, used as an interposition graft to bridge the gap between transected accessory renal artery and external iliac artery of the recipient. In another patient, gonadal vein was used to reconstruct short right renal vein, which got damaged during retrieval.Results:This technique resulted in a tension-free anastomosis. There were no procedure related complications. The ischemia time remained within acceptable limits and grafts showed excellent outcomes.Conclusions:The use of gonadal vein for renal vascular reconstruction seems to be an acceptable option during living related renal transplantation, lest the need arise, with no increased graft morbidity.
Highlights
Donor gonadal vein is a readily available vascular reconstruction material for vascular reconstruction, for difficult situations, in living related renal transplantation
The use of gonadal vein for renal vascular reconstruction seems to be an acceptable option during living related renal transplantation, lest the need arise, with no increased graft morbidity
If the point of transection results in an arterial segment of sufficient length, the severed end of the artery may be anastomosed to the side of main renal artery, or to the side of the external iliac artery and in an end-to-end manner to the inferior epigastric artery
Summary
Donor gonadal vein is a readily available vascular reconstruction material for vascular reconstruction, for difficult situations, in living related renal transplantation. Vein extension with the gonadal vein has been described as a simple and safe method to elongate renal vein especially in right living donor kidneys. We applied the donor gonadal vein for lacerated accessory renal artery and renal vein reconstruction. Donor gonadal vein reconstruction for extension of the transected renal vessels in living renal transplantation compared with those with single renal arteries.[3] a meticulous handling of hilar structures, based on pre-operative angiographic findings, is a pre-requisite for avoiding intra-operative vascular trauma and successful graft procurement. We utilized donor gonadal vein, in two such reconstructions, to lengthen the accidentally transected small lower accessory renal artery and short damaged right renal vein, respectively of living donor grafts
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