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Your search keyword '"Pleass, Henry C. C."' showing total 23 results
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23 results on '"Pleass, Henry C. C."'

18. Paediatric kidney transplants from donors aged 1 year and under: an analysis of the Australian and New Zealand Dialysis and Transplant Registry from 1963 to 2018.

Author

Yao, Jinna, Clayton, Philip A., Wyburn, Kate, Choksi, Harsham, Cavazzoni, Elena, Tovmassian, David, Lau, Howard M. H., Allen, Richard, Yuen, Lawrence, Laurence, Jerome M., Lam, Vincent W. T., and Pleass, Henry C. C.

Subjects
KIDNEY transplantation, TRANSPLANTATION of organs, tissues, etc., SURGICAL complications, AUSTRALIANS, AGE
Abstract

Summary: Kidneys from very small donors have the potential to significantly expand the donor pool. We describe the collective experience of transplantation using kidneys from donors aged ≤1 year in Australian and New Zealand. The ANZDATA registry was analysed on all deceased donor kidney transplants from donors aged ≤1 year. We compared recipient characteristics and outcomes between 1963–1999 and 2000–2018. From 1963 to 1999, 16 transplants were performed [9 (56%) adults, 7 (44%) children]. Death‐censored graft survival was 50% and 43% at 1 and 5 years, respectively. Patient survival was 90% and 87% at 1 and 5 years, respectively. From 2000 to 2018, 26 transplants were performed [25 (96%) adults, 1 (4%) children]. Mean creatinine was 73 µmol/l ±49.1 at 5 years. Death‐censored graft survival was 85% at 1 and 5 years. Patient survival was 100% at 1 and 5 years. Thrombosis was the cause of graft loss in 12% of recipients in the first era from 1963 to 1999, and 8% of recipients in the second era from 2000 to 2018. We advocate the judicious use of these small paediatric grafts from donors ≤1 year old. Optimal selection of donor and recipients may lead to greater acceptance and success of transplantation from very young donors. [ABSTRACT FROM AUTHOR]

Published
2021
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19. Beware the band adhesion: an unexpected cause of double obstruction following intraperitoneal kidney transplantation.

Author

Tovmassian, David, Tang, Linda, Hameed, Ahmer M, Yao, Jinna, Yoon, Peter Daechul, Lee, Taina, Laurence, Jerome M, Yuen, Lawrence P K, Allen, Richard D M, Lau, Howard, and Pleass, Henry C C

Subjects
ADHESION, SMALL intestine, KIDNEY transplantation, BOWEL obstructions, URETERIC obstruction, URETERS, HERNIA, URETER diseases
Abstract

Small bowel obstruction (SBO) following intraperitoneal renal transplantation, either solitary or due to simultaneous pancreas-kidney transplantation, is a known complication. While SBO is most commonly due to adhesions, there have been documented cases of internal herniation following simultaneous pancreas-kidney transplantation with enteric drainage due to the formation of a mesenteric defect. We present a unique complication in which the transplant ureter has caused strangulation and necrosis of a length of small intestine. The transplant ureter was mistaken for a band adhesion and divided. Post-operative anuria signalled this difficult diagnosis. Subsequent re-look laparotomy and ureteric reimplantation with Boari flap were required. Therefore, it is important to consider the ureter as a cause of internal herniation in kidney transplant patients and recognize that a band adhesion within the pelvis may in fact be the transplant ureter, obstructing a loop of small intestine beneath its course. [ABSTRACT FROM AUTHOR]

Published
2020
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