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Minimal scar techniques in living donors for kidney transplant
Date:8/4/2011

Alcaraz. , head of the Urology department at the Hospital Clnic, Dr. M Jos Ribal. , head of the Uro-Oncology Unit, Dr. Joan Beltran. , head of the anesthesia section at the Institut Clnic of Obstetrics and Gynecology and the Institut Clnic of Nephrology and Urology, Dr. Mireia Musquera. , responsible for the Kidney Transplant Surgical Unit, and the nurse Marta Toms. The meeting included the testimony from two donors, male and female, both of them about 60 years old.

The series published by European Urology include 30 women (who have been operated using the NOTES technique); The Hospital Clnic team has operated too four males by the technique called LESS (Laparoscopic-Endoscopic Single-Site Surgery), also known as single port transumbilical surgery. The application of the technique in women (transvaginal nephrectomy) involves two pathways (vagina and abdomen), and two minimal scars (abdomen) of 5 and 10 millimeters. In the case of men (single-port nephrectomy), the pathway is restricted to the navel (which is a scar with a very little vascularization). "The minimally invasive surgical techniques for removal of living donor kidneys have many advantages: better quality of life for the donor, minimal scarring, shorter hospital stay and less pain", says Dr. Alcaraz.

"The surgical technique is completely reproducible and can be considered a good alternative procedure that could increase the rate of living donors among women", said Dr. Alcaraz. According to Dr. Rafael Matesanz, director of the National Transplant Organization (ONT), "it is very important to further enhance this technique, 100% Spanish, because it is the best opportunity for children, young patients with diabetes or renal failure, who need a young kidney the sooner the better".

On his side, Dr. Roser Deulofeu, Director of the Catalan
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Contact: Mara Trenzado
trenzado@clinic.ub.es
0034-932-275-799
IDIBAPS - Institut d'Investigacions Biomdiques August Pi i Sunyer
Source:Eurekalert  

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