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.
• Addresses organizational issues that are vital to the good performance of transplant programs
• Covers key controversies and administrative issues unique to kidney transplantation
• Written by experts in the field of kidney transplantation
Carlo Gerardo Ramirez, MD, FACS Jefferson University Physician Academic Title: Associate Professor Director, Lankenau Kidney Transplant Program Dr. Ramirez has vast experience in kidney and liver transplant surgery. He earned his medical degree at the University of Philippines and completed his internship and residency at Philippines General Hospital. Dr. Ramirez completed a fellowship at the University of Pittsburgh Medical Center, where he received extensive training in adult and pediatric abdominal transplant surgery at the Thomas Starzl Transplantation Institute. An associate professor at Jefferson Medical College, he has authored more than 90 articles and abstracts on transplantation and serves as Director of the Transplant Fellowship Program at Thomas Jefferson University. Dr. Ramirez is a Fellow of the American College of Surgeons and a member of the Association for Academic Surgery, the Philadelphia Academy of Surgery, the Society of University Surgeons, the American Society of Transplant Surgeons, the International Liver Transplant Society, the Transplantation Society and the American Society of Transplantation.