Renal transplantation

There are virtually no contraindications to renal transplantation today and both the very young and the elderly may be transplanted successfully for all causes of end-stage renal failure. The kidney is generally placed in the iliac fossa retroperitoneally, the renal vessels being anastomosed to the iliac vessels and the ureter implanted into the bladder. The results of renal transplantation are excellent in the short-term with a 1-year patient and graft survival of 95% and 85% respectively being achieved. However, although 5-year patient survival is still around 90%, graft survival is only around 70%, there being a steady attrition of grafts from chronic rejection.

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