Contemporary Kidney Transplantation

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