What to look for in a kidney transplant procedure

Things to note during kidney transplantation: First, if the donor kidney is transplanted in a cadaver, the donor kidney must be examined before the operation to make sure that it is suitable for transplantation. This step should be performed on top of a sterile table on the operating table. In addition to examining the donor kidney, excess perirenal fat tissue should be removed and donor blood vessels should be treated. In the case of smaller pediatric donor kidneys, both kidneys can be transplanted together in their entirety to an adult recipient. Second, during the procedure, the iliac vessels should be carefully isolated and the lymphatics must be ligated to prevent lymphocyst formation. Third, for kidney transplantation, broad-spectrum antibiotics should be used to prevent infections and should be given from the preoperative period, with special attention to preventing infectious diseases that may be transmitted through the transplanted kidneys. Fourth, for routine surgery afterward, this needs to include observation of vital signs, fluid intake, and urine output; postoperative hematuria is usually temporary.