2018
DOI: 10.1016/j.transproceed.2018.09.003
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Techniques to Ameliorate the Impact of Second Warm Ischemic Time on Kidney Transplantation Outcomes

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Cited by 19 publications
(33 citation statements)
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“…For laparoscopic or robotassisted laparoscopic kidney transplantation, partial regional hypothermia has been reported to prevent rewarming of the kidney during transplantation. Partial regional hypothermia is achieved by repetitively delivering ice slush into the peritoneum to cover the graft (11)(12)(13)(14), by the application of 'jackets' of ice slush to wrap the graft (6,15), a gauzewrapped ice slush placed around the graft ( 16), simple frequent ice-saline irrigation through the incision (17), or with a standard irrigator/aspirator (18). For the aforementioned techniques used in the operation, surgeons must suction the melted saline repeatedly, which may cause the space to collapse, block their field of vision, and prolong the anastomotic time.…”
Section: Discussionmentioning
confidence: 99%
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“…For laparoscopic or robotassisted laparoscopic kidney transplantation, partial regional hypothermia has been reported to prevent rewarming of the kidney during transplantation. Partial regional hypothermia is achieved by repetitively delivering ice slush into the peritoneum to cover the graft (11)(12)(13)(14), by the application of 'jackets' of ice slush to wrap the graft (6,15), a gauzewrapped ice slush placed around the graft ( 16), simple frequent ice-saline irrigation through the incision (17), or with a standard irrigator/aspirator (18). For the aforementioned techniques used in the operation, surgeons must suction the melted saline repeatedly, which may cause the space to collapse, block their field of vision, and prolong the anastomotic time.…”
Section: Discussionmentioning
confidence: 99%
“…For the aforementioned techniques used in the operation, surgeons must suction the melted saline repeatedly, which may cause the space to collapse, block their field of vision, and prolong the anastomotic time. A laparoscopic plastic bag with crushed ice has been safely used in robot-assisted kidney transplantation (6,19), but the hypothesized maintenance time may be limited. Meie et al introduced a commendable intra-abdominal cooling system for robot-assisted renal transplantation in large white pigs with fine results (20).…”
Section: Discussionmentioning
confidence: 99%
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“…During the operation, temperature is not monitored, and typically surgeons intermittently splash the kidney with cold saline or microparticulated ice. Experimental devices have been developed to maintain a cold environment during transplantation, including stockinettes or a net holding ice, with or without a cold preservation chemical [16]. None of these systems can achieve controlled or homogeneous cooling [17].…”
Section: Introductionmentioning
confidence: 99%
“…However, during the intra-operative sequence, temperature is not monitored, and surgeons typically use intermittently splashing of the kidney with cold saline or microparticulated ice. More advanced methods involves immersion in bags, stockinettes or net holding ice with, or without cold preservation chemical [20]. Of importance, none of these methods can achieve a controlled or homogenous cooling [21].…”
Section: Introductionmentioning
confidence: 99%