This book provides a comprehensive guide to successful kidney transplantation in the highly regulated environment of today. It covers the history of kidney transplant to highlight innovations that have made kidney transplantation so successful as well as the new deceased donor kidney allocation strategy and postulates what types of changes might occur with this new policy. The book highlights special areas of nephrology concern in kidney transplantation, especially diseases likely to recur following transplant. It deals with many of the medications used in kidney transplantation including different commonly used antirejection protocols. It also provides a complete reference on the various operations involved in kidney transplantation. The text includes detailed pictures and surgical technique sections on cadaveric kidney transplantation and living kidney transplantation. It includes information on living kidney donation surgery with a chapter dedicated to the minimally invasive techniques that have been popularized in the last fifteen years. Some coverage on open living kidney donation is presented. Included in this section is discussions of how to handle certain operative challenges like severe atherosclerosis, venous sclerosis and various urinary system aberrancies.
Comprehensive coverage of common surgical complications is presented including management of urinary strictures, urinary leaks, lymphoceles, vascular problems following transplant, and what steps should be taken when an early kidney transplant biopsy is necessary. It also covers in detail what is required for maintenance of health after kidney transplantation including the major risks for graft loss as well as what disease processes kidney transplant patients are particularly vulnerable to.
1. A History of Kidney Transplantation
Pages 1-23
2. Recipient Selection for Kidney Transplantation
Pages 25-38
3. Living Donor Evaluation and Selection
Pages 39-59
4. The Role of the Transplant Coordinator
Pages 61-71
5. Donor Selection: Deceased Donor
Pages 73-80
6. Organ Preservation, Preparation, and Procurement Surgery in Kidney Transplantation
Pages 81-89
7. Recipient Kidney Transplantation Surgery
Pages 91-100
8. Live Donor Nephrectomy
Pages 101-121
9. Renal Transplantation with Other Organs
Pages 123-138
10. Anesthesia Management in Kidney Transplantation
Pages 139-145
11. Organ Procurement Organization and New Kidney Allocation
Pages 147-166
12. Necessary Components of a Living Donor Team
Pages 167-176
13. Medical Complications After Kidney Transplantation: Early
Pages 177-196
14. Kidney Transplantation: Surgical Complications
Pages 197-203
15. Medical Complications After Kidney Transplantation: Late
Pages 205-220
16. Immunology of Kidney Transplantation
Pages 221-230
17. Pathology of Kidney Transplantation
Pages 231-248
18. Radiology of Kidney Transplantation
Pages 249-291
19. Transplant Immunosuppression
Pages 293-306
20. Infection in Kidney Transplantation
Pages 307-327
21. The Regulatory and Legal Environment of a Contemporary Kidney Transplant Program
Pages 329-333
22. Epidemiology of End-Stage Renal Disease and Kidney Transplantation
Pages 335-341
23. Ethical Issues in Organ Transplantation
Pages 343-353
24. Psychosocial and Personal Financial Aspects of Transplantation
Pages 355-368
25. Pediatric Transplantation
Pages 369-378
26. Pregnancy After Kidney Transplantation
Pages 379-396
27. The Finance of Kidney Transplantation
Pages 397-416
28. Quality Measurement of a Contemporary Kidney Transplant Program
Pages 417-428
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