Pre-transplant bilateral native nephrectomy for medically refractory XXXX .

@entity1 @entity1621 @entity101 @entity1011
@entity101 arising from retained native kidneys can compromise both the @entity1 and graft survival. @entity1621 should be considered in a select group of @entity1 , whom have refractory @entity101 , prior to renal transplantation. Between January 1991 and July 1998 we performed 10 bilateral nephrectomies where @entity101 was the indication. The mean age was 23 yrs (range 11-45) at the time of surgery. Nine @entity1 were on dialysis pre-operatively (6-H/D, 3-CAPD). All 10 @entity1 witnessed a reduction in the number of antihypertensive medications they were obliged to take daily. We also found less surgical morbidity associated with performing surgery through bilateral dorsal lumbotomy incisions as opposed to through a midline incision. Also the post-operative hospital stay was less in the @entity1 group who under went bilateral dorsal lumbotomy. Seven @entity1 at a mean follow up period of 46.43+/-26.06 months have functioning grafts with a mean serum @entity1011 of 164.14+/-42.83 micromol/dl. We have shown in our @entity1 group how bilateral nephrectomy can be successfully used for refractory @entity101 in @entity1 prior to renal transplantation. We also believe that where possible these kidneys should be removed through a bilateral dorsal lumbotomy incision rather than a midline one.
