Fig. (5.4)
Kidney transplant in recipient's right iliac fossa with native kidneys
left in place.
- The native kidneys are left in place, unless there is an indication to be
removed e.g. uncontrollable hypertension, infection or if they are
hugely enlarged.
- The immune system of the recipient considers the transplanted kidney
as a foreign body and tries to destroy it. This is called "rejection" which
can be prevented by:
- Pre operative immunological investigations to be sure that tissue
typing of the recipient and the donor is identical or similar and via
- Post operative suppression of the recipient's immune system by
immunosuppression therapy.
