2022
DOI: 10.3389/fsurg.2022.881494
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Pediatric Kidney Transplantation: Frameshift in Medical and Surgical Management. Does the Perioperative Setting Have an Impact on Transplant Outcome? A Single-Center Experience

Abstract: IntroductionFrameshift in medical management as well as in surgical thinking is putting the patient as a whole is the focus, rather than just the disease. To optimize the treatment of our pediatric transplant patients in our institution, we changed in 2013 the transplant program setting, treating, and operating all patients with pediatric transplant exclusively in a pediatric environment. The aim of this study was to analyze whether or not this change had an impact on patients safety, patient population, and p… Show more

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Cited by 2 publications
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“…More than 15% of patients will be reoperated in early and mid-term postoperative time for management of a complication that can potentially threaten the survival of the graft and even, in some cases, threaten the survival of the patient. Thus, kidney transplantation in children recipients should be performed in centers with strong expertise in pediatric kidney transplants, which can provide with not only multidisciplinary teams constituted with transplant surgeons, pediatric urologists (urologists or pediatric surgeons), pediatric nephrology and dialysis center; and not less important an expert team in pediatric anesthesia/intensive care that is familiar assisting in the management of pediatric kidney transplantation complications associated [33].…”
Section: Discussionmentioning
confidence: 99%
“…More than 15% of patients will be reoperated in early and mid-term postoperative time for management of a complication that can potentially threaten the survival of the graft and even, in some cases, threaten the survival of the patient. Thus, kidney transplantation in children recipients should be performed in centers with strong expertise in pediatric kidney transplants, which can provide with not only multidisciplinary teams constituted with transplant surgeons, pediatric urologists (urologists or pediatric surgeons), pediatric nephrology and dialysis center; and not less important an expert team in pediatric anesthesia/intensive care that is familiar assisting in the management of pediatric kidney transplantation complications associated [33].…”
Section: Discussionmentioning
confidence: 99%