scholarly journals Could the Use of an Enhanced Recovery Protocol in Laparoscopic Donor Nephrectomy Be an Incentive for Live Kidney Donation?

Cureus ◽  
2016 ◽  
Author(s):  
Aparna Rege ◽  
Harold Leraas ◽  
Deepak Vikraman ◽  
Kadiyala Ravindra ◽  
Todd Brennan ◽  
...  
Keyword(s):  
Enhanced Recovery ◽  
Donor Nephrectomy ◽  
Kidney Donation ◽  
Laparoscopic Donor Nephrectomy ◽  
Live Kidney Donation ◽  
Enhanced Recovery Protocol

scholarly journals Enhanced Recovery Protocol After Hand-Assisted Laparoscopic Donor Nephrectomy: A Randomized Clinical Trial

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Alberts Victor P ◽  
Minnee Robert C ◽  
Bemelman Frederike J ◽  
Pant Karlijn AMI van der ◽  
Hollmann Markus W ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Enhanced Recovery ◽  
Donor Nephrectomy ◽  
Laparoscopic Donor Nephrectomy ◽  
Enhanced Recovery Protocol

scholarly journals Optimizing left-sided live kidney donation: hand-assisted retroperitoneoscopic as alternative to standard laparoscopic donor nephrectomy

2010 ◽  
Vol 23 (4) ◽  
pp. 358-363 ◽  
Author(s):  
Leonienke F. C. Dols ◽  
Niels F. M. Kok ◽  
Turkan Terkivatan ◽  
Khe T. C. Tran ◽  
Ian P. J. Alwayn ◽  
...  
Keyword(s):  
Donor Nephrectomy ◽  
Kidney Donation ◽  
Laparoscopic Donor Nephrectomy ◽  
Live Kidney Donation

scholarly journals Introduction of an enhanced recovery protocol into a laparoscopic living donor nephrectomy programme

2020 ◽  
Vol 102 (3) ◽  
pp. 204-208 ◽  
Author(s):  
T Brown ◽  
F Magill ◽  
N Beckett ◽  
S Kanabar ◽  
J Monserez ◽  
...  
Keyword(s):  
Living Donor ◽  
Enhanced Recovery ◽  
Postoperative Recovery ◽  
Donor Nephrectomy ◽  
Fluid Restriction ◽  
Potential Donor ◽  
Living Donor Nephrectomy ◽  
Pain Scores ◽  
Enhanced Recovery Protocol ◽  
The Impact

Introduction Living-donor renal transplantation is the optimal treatment for patients with end-stage renal disease. The rate of living donation in the UK is sub-optimal, and potential donor concerns regarding postoperative recovery may be contributory. Enhanced recovery programmes are well described for a number of surgical procedures, but experience in living-donor surgery is sparse. This study reports the impact of introducing an enhanced recovery protocol into a living-donor renal transplant programme. Materials and methods All consecutive patients undergoing laparoscopic living-donor nephrectomy over a 25-month period were included. The principles of enhanced recovery were fluid restriction, morphine sparing and expectation management. Outcome measures were postoperative pain scores and complications for donor and recipients. Results Standard care was provided for 24 (30%) patients and 57 (70%) followed an enhanced recovery pathway. The latter group received significantly less preoperative intravenous fluid (0ml vs 841ml p < 000.1) and opiate medication (14.83mg vs 23.85mg p = 0.001). Pain scores, postoperative complications and recipient transplant outcomes were comparable in both groups. Conclusions Enhanced recovery for living-donor nephrectomy is a safe approach for donors and recipients. Application of these techniques and further refinement should be pursued to enhance the experience of living donors.

scholarly journals Perception Regarding Live Kidney Donation in the General Population of South Korea

2022 ◽  
Author(s):  
Eunjeong Kang ◽  
Jangwook Lee ◽  
Sehoon Park ◽  
Yaerim Kim ◽  
Hyo Jeong Kim ◽  
...  
Keyword(s):  
General Population ◽  
Donor Nephrectomy ◽  
Government Support ◽  
Kidney Donation ◽  
Kidney Donors ◽  
Living Kidney Donors ◽  
Proportional Allocation ◽  
Economic Support ◽  
Live Kidney Donation ◽  
The Government

Abstract This study aimed to know how the general population recognizes live kidney donation in Korea. Participants were randomly selected from the general population after proportional allocation by region, sex, and age. Selected participants received a questionnaire that included demographic information, socioeconomic and marital statuses, prior recognition of live donor KT, expected changes after donation, and the need for support after donor nephrectomy. Among the 1,000 participants from the web-based survey, 83.8% answered they fully understood living donor KT, 81.1% knew about them, and 51.1% were willing to donate. Various complications after nephrectomy and deterioration in health after donation were the most significant reasons for those reluctant to donate. Most agreed that the government should provide social and economic support to living kidney donors, especially after exposure to the description of donor nephrectomy. Financial support, including surgery and regular medical check-up costs, was the most preferred government support. The Korean general population seemed aware of the value and safety of kidney donation, although only half of them were willing to donate due to concerns about possible complications. Most participants agreed on social and economic support for living kidney donors, especially surgery-related costs.

scholarly journals Perception Regarding Live Kidney Donation in the General Population of South Korea

2021 ◽  
Author(s):  
Eunjeong Kang ◽  
Jangwook Lee ◽  
Sehoon Park ◽  
Yaerim Kim ◽  
Hyo Jeong Kim ◽  
...  
Keyword(s):  
General Population ◽  
Living Donor ◽  
Donor Nephrectomy ◽  
Government Support ◽  
Kidney Donation ◽  
Kidney Donors ◽  
Living Kidney Donors ◽  
Economic Support ◽  
Live Kidney Donation ◽  
The Government

Abstract Background: It is necessary to know how the general population recognizes live kidney donation in Korea, where living donor kidney transplantations (KT) are the mainstream.Methods: Participants were randomly selected from the general population after proportional allocation by region, sex, and age. Selected participants received a questionnaire that included demographic information, socioeconomic and marital statuses, prior recognition of live donor KT, expected changes after donation, and the need for support after donor nephrectomy.Results: In total, 1,000 participants responded to the web-based survey. After reading the detailed explanation, 83.8% of the respondents answered that they fully understood living donor KT. Among the participants, 811(81.1%) answered that they knew about living donor KT, and 51.1% were willing to donate. Various complications after nephrectomy (54.4%) and deterioration in health after donation (69.1%) were the most important reasons for those who were reluctant to donate, and the possibility of a decrease in economic activities after donation accounted for 33.8%. Overall, 73.2% were more likely to agree that the government should provide social and economic support to living kidney donors; this number increased to 81.3% after exposure to the description of donor nephrectomy (P<0.001). Financial support, including surgery (74.2%) and regular medical check-up costs (70.1%), was the most preferred government support.Conclusions: The Korean general population seemed to be aware of the value and safety of kidney donation, although only half of them were willing to donate due to concerns about possible complications. Most participants agreed on social and economic support for living kidney donors, especially for surgery-related costs.

1855: Laparoscopic Donor Nephrectomy: Impact of Warm Ischemia on Allograft Function

2004 ◽  
Vol 171 (4S) ◽  
pp. 490-490
Author(s):  
Mahesh C. Gael ◽  
J. Feng ◽  
David A. Goldfarb ◽  
lnderbir S. Gill
Keyword(s):  
Warm Ischemia ◽  
Donor Nephrectomy ◽  
Laparoscopic Donor Nephrectomy ◽  
Allograft Function
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