CHAPTER 37 A kidney transplant procedure takes a kidney and adjacent structures from a donor and places them into the lower right quadrant of the abdomen of the recipient. A brief description of the procedure follows: 1. After the abdomen is opened, a Thompson retractor may be placed with the appropriate blades in the abdomen to deflect the peritoneum above and medially. 2. A Metzenbaum dissecting scissors and DeBakey vascular Autraugrip tissue forceps are used to dissect the internal iliac vessels. 3. A DeBakey vascular clamp is used to hold the internal iliac artery for later anastomosis. 4. A Hartmann mosquito forceps, an iris scissors, and a short DeBakey tissue forceps are used to revise the donor kidney, vessels, and ureter as needed. 5. Two Geary-DeBakey forceps are placed on the iliac vein. 6. A Bard-Parker scalpel handle #7 with a #11 blade is used to make a small incision between the clamps on the iliac vein. 7. Potts-Smith cardiovascular scissors are used to extend the incision, if needed. 8. A Fell needle holder and jeweler’s forceps are used to anastomose the renal vein to the side of the iliac vein. 9. The renal artery and iliac artery are anastomosed using the same instruments. 10. Two long Babcock tissue forceps are used to grasp the bladder. 11. A Bard-Parker long scalpel handle #3 with a #10 blade is used to make an incision into the bladder. 12. The ureter is inserted between the layers of the bladder for a short distance. 13. An Ayers needle holder and a Gerald tissue forceps are used to suture the ureter into the bladder.
Kidney Transplant
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