En bloc paediatric renal transplantation is not always appropriate

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7065.1147 (Published 02 November 1996) Cite this as: BMJ 1996;313:1147
  1. Peter Horton
  1. NH&MRC research fellow National Pancreas Transplant Unit, University of Sydney, Westmead Hospital, Westmead, NSW 2145, Australia

    EDITOR,—D Talbot and colleagues suggest that using the en bloc technique to transplant kidneys from young donors would allow the transplantation of organs that are currently not used.1 If all paediatric kidneys were transplanted en bloc the number of kidney transplant operations would be halved. Possibly more transplant operations would be successful if single paediatric kidneys were used because, despite the worse graft survival, twice as many operations could be performed. Comparable graft survival for single and en bloc paediatric kidney transplants from donors aged 5 years and under …

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