Donor nephrectomies are being done in some patients via a different approach at John Hopkins. A case report was done for a patient presented in AJT July 2010 issue where the donor kidney was removed via vaginal route. The warm ischemia time was 3 min and the post op pain was less; hospital stay was shorter and the cosmetic outcome was more desirable. This is a creative approach to a surgical technique.
Lets see where we stand with this in the future.
For now its just one patient and we have to wait and see further work in this field. An editorial along with this case report is a must read as well. It discusses the potential hazards of this type of approach.
http://www.ncbi.nlm.nih.gov/pubmed/20553450
http://www.ncbi.nlm.nih.gov/pubmed/20353482
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