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12. TRANSPLANTATION 2

Author

Trivedi, Hargovind L, Vanikar, Aruna V, Dave, Shuti D, Patel, Himanshu V, Kute, Vivek B, Gumber, Manoj R, Rawal, Manish N, Modi, Pranjal R, and Rizvi, Saiyad Jamal

Published
2014

15. Non‐simultaneous kidney exchange cycles in resource‐restricted countries without non‐directed donation – a prospective single‐center cohort study

Author

Kute, Vivek B., primary, Patel, Himanshu V., additional, Modi, Pranjal R., additional, Rizvi, Syed J., additional, Shah, Pankaj R., additional, Engineer, Divyesh P., additional, Banerjee, Subho, additional, Meshram, Hari Shankar, additional, Butala, Bina P., additional, Modi, Manisha P., additional, Gandhi, Shruti, additional, Patel, Ansy H., additional, Mishra, Vineet V., additional, Roth, Alvin E., additional, Kopke, Jonathan E., additional, and Rees, Michael A., additional

Published
2021
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25. Giant lipoma of the adrenal gland: a case report

Author

Modi Pranjal R, Vanikar Aruna V, and Patel Rashmi D

Subjects
Medicine
Abstract

Abstract Introduction Lipoma of the adrenal gland is rare with a reported incidence of between 2% to 4%. Improved imaging techniques have helped in the diagnosis of these lesions. Case presentation We report an incidentally detected giant adrenal lipoma in a 43-year-old Asian man with a six year history of hypertension. He had a myocardial infarction one year earlier, for which he was taking an antiplatelet agent in addition to antihypertensive medication. The tumor was detected by computed tomography and magnetic resonance imaging, and was a large, well-defined, altered signal intensity lesion 12 cm in size in the right suprarenal region. The tumor was resected laparoscopically and sent for histopathologic evaluation. It measured 15 cm × 11.5 cm × 6.5 cm on gross examination, weighed 810 g and had a homogenous yellow cut surface. The postoperative course was smooth. Microscopy revealed mature adipose tissue with myxoid degeneration. Over the course of a four month follow-up the patient recovered. Conclusion Giant lipoma of the adrenal gland, a benign tumor, is rare compared with myelolipoma. Improved radiologic modalities have led to increased reporting of these benign tumors. Laparoscopic removal of the tumor has helped in early recovery and in reinstating patients to normal lives.

Published
2011
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27. Seventy-seven kidney paired donation transplantations at a single transplant centre in India led to an increase in living donor kidney transplantations in 2015

Author

Kute, Vivek B., primary, Patel, Himanshu V., additional, Shah, Pankaj R., additional, Modi, Pranjal R., additional, Shah, Veena R., additional, Rizvi, Sayyed J., additional, Pal, Bipin C., additional, Shah, Priya S., additional, Varyani, Umesh T., additional, Wakhare, Pavan S., additional, Shinde, Saiprasad G., additional, Ghodela, Vijay A., additional, Trivedi, Varsha B., additional, Patel, Minaxi H., additional, and Trivedi, Hargovind L., additional

Published
2017
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28. Impact of single centre kidney paired donation transplantation to increase donor pool in India: a cohort study

Author

Kute, Vivek B., primary, Patel, Himanshu V., additional, Shah, Pankaj R., additional, Modi, Pranjal R., additional, Shah, Veena R., additional, Rizvi, Sayyed J., additional, Pal, Bipin C., additional, Shah, Priyadarshini S., additional, Modi, Manisha P., additional, Butala, Beena P., additional, Wakhare, Pavan S., additional, Varyani, Umesh T., additional, Shinde, Saiprasad G., additional, Ghodela, Vijay A., additional, Kasat, Govind S., additional, Patil, Mayur V., additional, Patel, Jaydeep C., additional, Kumar, Deepk P., additional, Trivedi, Varsha B., additional, Patel, Minaxi H., additional, and Trivedi, Hargovind L., additional

Published
2017
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29. International kidney paired donation transplantations to increase kidney transplant of O group and highly sensitized patient: First report from India

Author

Kute, Vivek B, primary, Patel, Himanshu V, additional, Shah, Pankaj R, additional, Modi, Pranjal R, additional, Shah, Veena R, additional, Rizvi, Sayyed J, additional, Pal, Bipin C, additional, Shah, Priya S, additional, Wakhare, Pavan S, additional, Shinde, Saiprasad G, additional, Ghodela, Vijay A, additional, Varyani, Umesh T, additional, Patel, Minaxi H, additional, Trivedi, Varsha B, additional, and Trivedi, Hargovind L, additional

Published
2017
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30. Past, present and future of kidney paired donation transplantation in India

Author

Kute, Vivek B, primary, Patel, Himanshu V, additional, Shah, Pankaj R, additional, Modi, Pranjal R, additional, Shah, Veena R, additional, Rizvi, Sayyed J, additional, Pal, Bipin C, additional, Modi, Manisha P, additional, Shah, Priya S, additional, Varyani, Umesh T, additional, Wakhare, Pavan S, additional, Shinde, Saiprasad G, additional, Ghodela, Vijay A, additional, Patel, Minaxi H, additional, Trivedi, Varsha B, additional, and Trivedi, Hargovind L, additional

Published
2017
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35. Six end-stage renal disease patients benefited from first non-simultaneous single center 6-way kidney exchange transplantation in India

Author

Kute, Vivek B, primary, Patel, Himanshu V, additional, Varyani, Umesh T, additional, Shah, Pankaj R, additional, Modi, Pranjal R, additional, Shah, Veena R, additional, Rizvi, Sayyed J, additional, Pal, Bipin C, additional, Shah, Priya S, additional, Wakhare, Pavan S, additional, Ghodela, Vijay A, additional, Shinde, Saiprasad G, additional, Trivedi, Varsha B, additional, Patel, Minaxi H, additional, and Trivedi, Hargovind L, additional

Published
2016
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36. Increasing access to kidney transplantation for sensitized recipient through three-way kidney paired donation with desensitization: The first Indian report

Author

Kute, Vivek B, primary, Patel, Himanshu V, additional, Shah, Pankaj R, additional, Modi, Pranjal R, additional, Shah, Veena R, additional, Rizvi, Sayyed J, additional, Pal, Bipin C, additional, Modi, Manisha P, additional, Shah, Priya S, additional, Varyani, Umesh T, additional, Wakhare, Pavan S, additional, Shinde, Saiprasad G, additional, Ghodela, Viajay A, additional, Patel, Minaxi H, additional, Trivedi, Varsha B, additional, and Trivedi, Hargovind L, additional

Published
2016
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37. Renal Transplantation in Secondary Amyloidosis Associated with Tuberculosis

Author

Kute, Vivek B., Vanikar, Aruna V., Patel, Himanshu V., Gumber, Manoj R., Shah, Pankaj R., Modi, Pranjal R., and Trivedi, Hargovind L.

Subjects
Article Subject
Abstract

Although end-stage renal disease (ESRD) related to AA amyloidosis nephropathy secondary to tuberculosis is most common in our country, there are limited data concerning patient and graft outcome after renal transplantation (RTx). To the best of our knowledge, this is the first report of RTx in ESRD patient with secondary amyloidosis due to tuberculosis from India. A 30-year-old female with past history of pulmonary tuberculosis 3 years back was admitted with complaint of gradually progressive pedal oedema and nausea for 3 months. Renal biopsy was suggestive of secondary renal amyloidosis with vascular involvement and chronic tubulointerstitial involvement. She was transplanted with kidney from her 28-year-old brother with 3/6 human leukocyte antigen match. She had immediate good graft function without any perioperative complications (cardiovascular, infections, rejection and delayed graft function). She was discharged with serum creatinine of 0.8 mg/dL. Her last serum creatinine level was 0.9 mg/dL with cyclosporine level of 100 mg/dL at 9-month followup without any medical or surgical complication. The quality of life also improved after transplantation. With careful selection, ESRD patients with secondary amyloidosis due to tuberculosis are eligible for RTx with favorable outcome and improved quality of life.

Published
2013
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39. Kidney-Paired Donation to Increase Living Donor Kidney Transplantation in India: Guidelines of Indian Society of Organ Transplantation -- 2017.

Author

Kute, Vivek B., Agarwal, Sanjay K., Sahay, Manisha, Kumar, Anant, Rathi, Manish, Prasad, Narayan, Sharma, Rajkumar K., Gupta, Krishan L., Shroff, Sunil, Saxena, Sandip K., Shah, Pankaj R., Modi, Pranjal R., Billa, Vishwanath, Tripathi, Laxmikant K., Raju, Sreebhushan, Bhadauria, Dhamedndra S., Jeloka, Tarun K., Agarwal, Dhananjai, Krishna, Amresh, and Perumalla, Rajshekhar

Published
2018
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44. Pure retroperitoneoscopic donor nephrectomy in duplication of inferior vena cava: A series of four cases.

Author

Pal, Bipin Chandra, Modi, Pranjal R., Rizvi, Syed Jamal, Chauhan, Rohit, Kumar, Suresh, Gandhi, Shruti P., Kute, Vivek B., and Trivedi, Hargovind L.

Subjects
*NEPHRECTOMY, *VENA cava inferior, *COMPUTED tomography, *BODY mass index, *KIDNEY surgery
Abstract

Aim: Complex vascular anatomy poses a major challenge to the donor surgeon. Here, we have described the technical nuances in retroperitoneoscopic living donor nephrectomy for the left kidney in the situations of a rare vascular anomaly of duplication of inferior vena. Materials and Methods: Between September 2005 and June 2016, 1460 retroperitoneoscopic living donor nephrectomy were carried out in single surgical unit of our institution. Out of these four donors were found to have duplication of inferior vena cava (IVC). We retrospectively analyzed the prospectively collected data of these donors and studied the operative details for managing the duplicated limb of the IVC. Results: The mean age of the donors was 42.5 (range 30-54) years. Mean body mass index was 26.9 (range 25.2-28.6) kg/m2. Mean operative time (defined as between giving skin incision to the skin closure [O. T]), was 230 (range 185-310 min). Mean Warm ischemia time (defined from clamping of the renal artery to the starting of the cold HTK perfusion, [WIT]) was 136 s (range 105-178 s). In two cases, the renal vein could be controlled distal to the duplicated limb. In one case, the duplicated limb was clipped while in another a stapler was used to take a cuff of IVC. Conclusion: Retroperitoneoscopic donor nephrectomy can be performed safely in cases of duplication of IVC. Preoperative computerized tomography angiography with vascular reconstruction and surgical expertise is desirable in carrying out the procedure. [ABSTRACT FROM AUTHOR]

Published
2017
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45. Expanding the Donor Pool for Kidney Transplantation in India.

Author

Kute, Vivek Balkrishna, Suresh, Govind Kasat, Patel, Himanshu V., Shah, Pankaj R., Modi, Pranjal R., Shah, Veena R., Rizvi, Jamal S., Pal, Bipin C., Modi, Manisha Pranjal, Shah, Priya Sameer, Varyani, Umesh T., Wakhare, Pawan S., Shinde, Saiprasad G., Ghodela, Vijay A., Patel, Minal H., Trivedi, Varsha B., and Trivedi, Hargovind L.

Abstract

The best and most cost-effective treatment for end-stage renal disease patients is living donor (LD) renal transplantation. It has survival benefit compared to deceased donor (DD) kidney transplant (DDKT) and long-term dialysis and provides a better quality of life. Efficient and effective kidney allocation methods are increasingly necessary to address the problem of organ scarcity. The use of kidney paired donation transplant has increased access to LD kidney transplantation (LDKT) with outstanding results. ABO-incompatible kidney transplantation (KT) and desensitization protocol can expand the donor pool, but as integral to any aggressive immunosuppression protocol, they are associated with increased risk of infection and malignancy. Given the widespread organ shortage, DDKT from donors with sepsis, donors who died from snakebite or acute kidney injury, controlled donation after cardiac death, older donors, can be considered for KT with an acceptable outcome. The acceptable outcome can be achieved with dual KT using kidneys from expanded criteria donors in older population. Dual KT from pediatric donors to adult recipients or from adult marginal DDs is a promising way to expand the donor pool. Carefully selected donor with HIV, HCV, and HBV positivity is not a contraindication for living kidney donation. Careful and meticulous selection of patient and donor is essential for successful outcome. Affordable or free transplantation is other way to increase transplantation rate in developing country. The community support can make transplantation available free to the poor patients under community-government partnership. Various steps should be taken to promote LDKT and DDKT program. [ABSTRACT FROM AUTHOR]

Published
2017
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46. Progressive Perineal Urethroplasty for Pelvic Fracture Urethral Distraction Defect in Prepubertal Children: The Outcome.

Author

Pal, Bipin Chandra, Modi, Pranjal R., Farooq Qadri, Syed Javid, Modi, Jayesh, Kumar, Suresh, Nagarajan, Ramya, and Safee, Yusuf

Abstract

Background: Urethroplasty in pediatric patients is a challenging task. In this study, we have tried to assess the complexity and evaluate the outcome of progressive perineal anastomotic urethroplasty in prepubertal children. Materials and Methods: Retrospective data of all the prepubertal children who underwent progressive perineal urethroplasty between March 2009 and April 2014 were analyzed. Patients were evaluated with history, examination, essential laboratory investigations, retrograde urethrogram, and voiding cystourethrogram. Before subjecting the patients for definitive surgery, antegrade and retrograde endoscopic assessment was done. The surgery was performed by the transperineal route with the help of x2.5 magnification. Patients were followed up with uroflowmetry for every 3 months in the 1st year and for every 6 months in the subsequent years. Results: Mean age of the patients was 7.3 (range 5-11) years. Mean urethral distraction defect was 1.7 (range 1-2.5) cm. All the patients were successfully managed by the perineal approach. Crural separation was performed in all the patients while additional inferior pubectomy was required in six patients. Mean operating time was 298 (range 180-400) min. Mean blood loss was 174 (range 100-500) ml. One patient had the left calf hematoma in the immediate postoperative period. Seven out of nine (77.7%) patients had successful urethroplasty. Two patients had failed urethroplasty who were successfully managed by redo-urethroplasty. Transient incontinence was observed in one patient. Erectile function could not be assessed in these patients. Conclusion: This study shows the feasibility of progressive perineal urethroplasty by the perineal route in prepubertal children. An endoscopic assessment should be performed before the definitive surgery. Use of loupe helps in performing better anastomosis and hence yielding a better result. [ABSTRACT FROM AUTHOR]

Published
2017
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47. Outcome of renal transplantation from deceased donors: experience from developing country

Author

Kute, Vivek B., primary, Vanikar, Aruna V., additional, Patel, Himanshu V., additional, Shah, Pankaj R., additional, Gumber, Manoj R., additional, Engineer, Divyesh P., additional, Modi, Pranjal R., additional, Rizvi, Syed Jamal, additional, Shah, Veena R, additional, Modi, Manisha P, additional, Kanodia, Kamal V., additional, and Trivedi, Hargovind L., additional

Published
2014
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48. Significant benefits after renal transplantation in patients with chronic heart failure and chronic kidney disease

Author

Kute, Vivek B., primary, Vanikar, Aruna V., additional, Patel, Himanshu V., additional, Gumber, Manoj R., additional, Shah, Pankaj R., additional, Engineer, Divyesh P., additional, Balwani, Manish R., additional, Gautam, Rajesh Singh, additional, Modi, Pranjal R., additional, Shah, Veena R., additional, and Trivedi, Hargovind L., additional

Published
2014
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49. Successful three-way kidney paired donation with compatible pairs to increase donor pool

Author

Kute, Vivek B., primary, Vanikar, Aruna V., additional, Gumber, Manoj R., additional, Shah, Pankaj R., additional, Patel, Himanshu V., additional, Engineer, Divyesh P., additional, Balwani, Manish R., additional, Gautam, Rajesh Singh, additional, Gera, Dinesh N., additional, Modi, Pranjal R., additional, Shah, Veena R., additional, and Trivedi, Hargovind L., additional

Published
2013
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