Staged Hand-Assisted Bilateral Native Nephrectomy for Management of Posttransplant Polyuria in an Adult with Dent’s Disease
Polyuria after kidney transplantation causes graft dysfunction and increased thrombotic risk. We present a case of a polyuric adult with Dent’s disease who underwent staged bilateral native nephrectomies, the first operation before transplant and the second four months after transplant. This led to...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2015/620371 |
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| _version_ | 1850218502395265024 |
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| author | Rosa M. Montero Rachel Hilton Jonathon Olsburgh |
| author_facet | Rosa M. Montero Rachel Hilton Jonathon Olsburgh |
| author_sort | Rosa M. Montero |
| collection | DOAJ |
| description | Polyuria after kidney transplantation causes graft dysfunction and increased thrombotic risk. We present a case of a polyuric adult with Dent’s disease who underwent staged bilateral native nephrectomies, the first operation before transplant and the second four months after transplant. This led to improved allograft function maintained during four years of follow-up. The retroperitoneal laparoscopic approach was well tolerated and allowed continuation of peritoneal dialysis before transplantation. A staged approach helps regulate fluid balance perioperatively and may be tailored to individual need according to posttransplant urine output. This novel approach should be considered for polyuric patients with tubular dysfunction including Dent’s disease. |
| format | Article |
| id | doaj-art-36c3e37e23234b6fa609949bc2b4b559 |
| institution | OA Journals |
| issn | 2090-6943 2090-6951 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Transplantation |
| spelling | doaj-art-36c3e37e23234b6fa609949bc2b4b5592025-08-20T02:07:41ZengWileyCase Reports in Transplantation2090-69432090-69512015-01-01201510.1155/2015/620371620371Staged Hand-Assisted Bilateral Native Nephrectomy for Management of Posttransplant Polyuria in an Adult with Dent’s DiseaseRosa M. Montero0Rachel Hilton1Jonathon Olsburgh2Department of Nephrology and Transplantation, Guy’s and St Thomas’ NHS Foundation Trust, Great Maze Pond, London SE1 9RT, UKDepartment of Nephrology and Transplantation, Guy’s and St Thomas’ NHS Foundation Trust, Great Maze Pond, London SE1 9RT, UKDepartment of Nephrology and Transplantation, Guy’s and St Thomas’ NHS Foundation Trust, Great Maze Pond, London SE1 9RT, UKPolyuria after kidney transplantation causes graft dysfunction and increased thrombotic risk. We present a case of a polyuric adult with Dent’s disease who underwent staged bilateral native nephrectomies, the first operation before transplant and the second four months after transplant. This led to improved allograft function maintained during four years of follow-up. The retroperitoneal laparoscopic approach was well tolerated and allowed continuation of peritoneal dialysis before transplantation. A staged approach helps regulate fluid balance perioperatively and may be tailored to individual need according to posttransplant urine output. This novel approach should be considered for polyuric patients with tubular dysfunction including Dent’s disease.http://dx.doi.org/10.1155/2015/620371 |
| spellingShingle | Rosa M. Montero Rachel Hilton Jonathon Olsburgh Staged Hand-Assisted Bilateral Native Nephrectomy for Management of Posttransplant Polyuria in an Adult with Dent’s Disease Case Reports in Transplantation |
| title | Staged Hand-Assisted Bilateral Native Nephrectomy for Management of Posttransplant Polyuria in an Adult with Dent’s Disease |
| title_full | Staged Hand-Assisted Bilateral Native Nephrectomy for Management of Posttransplant Polyuria in an Adult with Dent’s Disease |
| title_fullStr | Staged Hand-Assisted Bilateral Native Nephrectomy for Management of Posttransplant Polyuria in an Adult with Dent’s Disease |
| title_full_unstemmed | Staged Hand-Assisted Bilateral Native Nephrectomy for Management of Posttransplant Polyuria in an Adult with Dent’s Disease |
| title_short | Staged Hand-Assisted Bilateral Native Nephrectomy for Management of Posttransplant Polyuria in an Adult with Dent’s Disease |
| title_sort | staged hand assisted bilateral native nephrectomy for management of posttransplant polyuria in an adult with dent s disease |
| url | http://dx.doi.org/10.1155/2015/620371 |
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