Renal standard texts: Difference between revisions
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Vascular disease: [Yes/No]. Details: []<br /> | Vascular disease: [Yes/No]. Details: []<br /> | ||
Number of renal arteries: Left: [] Right: []<br /> | Number of renal arteries: Left: [] Right: []<br /> | ||
Size (diameter) of accessory renal arteries: Left: [] Right: []<br /> | |||
Branching pattern of renal arteries: Left: [Early/Normal]. Right: [Early/Normal].<br /> | Branching pattern of renal arteries: Left: [Early/Normal]. Right: [Early/Normal].<br /> | ||
Number of renal veins: Left: [] Right:[]<br /> | Number of renal veins: Left: [] Right:[]<br /> | ||
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Course of renal veins: [Retroaortic/Circumaortic/Normal].<br /> | Course of renal veins: [Retroaortic/Circumaortic/Normal].<br /> | ||
Ureters: [Duplex/Normal].<br /> | Ureters: [Duplex/Normal].<br /> | ||
Renal scarring: [Yes/No]. Extent: []<br /> | Renal scarring: Left: [Yes/No]. Right: [Yes/No]. Extent: []<br /> | ||
Renal position: [Normal/Horseshoe/Pelvic/Duplex/Crossed fused ectopia]. | Renal position: [Normal/Horseshoe/Pelvic/Duplex/Crossed fused ectopia]. | ||
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||Renal lesions: ||Yes/No. Type: ||Some centres decline donors if a small angiomyolipoma or even a single cyst is present. Multiple small cysts | ||Renal lesions: ||Yes/No. Type: ||Some centres decline donors if a small angiomyolipoma or even a single cyst is present. Multiple small cysts | ||
|- | |- | ||
||Vascular disease: ||Yes/No. Details: ||Relevant or elsewhere severe atheromatous disease or fibromuscular dysplasia are contraindications. | ||Vascular disease: ||Yes/No. Details: ||Relevant or elsewhere severe atheromatous disease or fibromuscular dysplasia are contraindications, though endarterectomy and grafting may make a kidney suitable for harvest provided a normal kidney remains. | ||
|- | |- | ||
||Number of renal arteries ||Left: Right: || | ||Number of renal arteries ||Left: Right: ||Hilar, polar and capsular arteries may be present and an increased number may shift the preference to harvest the contralateral side | ||
|- | |- | ||
|| | ||Size (diameter of) accessory renal arteries ||Left: Right: ||<2 mm polar arteries may be clipped. | ||
|- | |- | ||
|| | ||Branching pattern of renal arteries: ||Left: Early/Normal. Right: Early/Normal. ||Required for surgical planning | ||
|- | |- | ||
||Confluence of renal veins: ||Late/Normal. || | ||Number of renal veins: ||Left: Right:||Required for surgical planning | ||
|- | |||
||Confluence of renal veins: ||Late/Normal. ||Required for surgical planning | |||
|- | |- | ||
||Course of renal veins: ||Retroaortic/Circumaortic/Normal. ||Note of retroaortic and circumaortic renal veins is important to aid surgical planning in nephrectomy and retroperitoneal surgery | ||Course of renal veins: ||Retroaortic/Circumaortic/Normal. ||Note of retroaortic and circumaortic renal veins is important to aid surgical planning in nephrectomy and retroperitoneal surgery | ||
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||Ureters: ||Duplex/Normal. ||This is not a contraindication, but is required to be identified | ||Ureters: ||Duplex/Normal. ||This is not a contraindication, but is required to be identified | ||
|- | |- | ||
||Renal scarring: ||Yes/No. Extent || | ||Renal scarring: ||Left: Yes/No. Right: Yes/No. Extent: || | ||
|- | |- | ||
||Renal position: ||Normal/Horseshoe/Pelvic/Duplex/Crossed fused ectopia. ||Horseshoe kidney and crossed fused ectopia are contraindications to renal donation. | ||Renal position: ||Normal/Horseshoe/Pelvic/Duplex/Crossed fused ectopia. ||Horseshoe kidney and crossed fused ectopia are contraindications to renal donation. | ||
|- | |- | ||
|| | |colspan="3"|During surgery a laprascopic approach is used, usually to harvest the left kidney though minor abnormalities in one kidney may favour that kidney being harvested in order to leave the normal kidney. | ||
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Revision as of 09:46, 15 November 2018
Pre-operative donor assessment
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Auto-inserted clinical details: Report: |
| Heading | Options | Reason |
|---|---|---|
| Renal stones: | Yes/No. | This is a relative contraindication |
| Renal lesions: | Yes/No. Type: | Some centres decline donors if a small angiomyolipoma or even a single cyst is present. Multiple small cysts |
| Vascular disease: | Yes/No. Details: | Relevant or elsewhere severe atheromatous disease or fibromuscular dysplasia are contraindications, though endarterectomy and grafting may make a kidney suitable for harvest provided a normal kidney remains. |
| Number of renal arteries | Left: Right: | Hilar, polar and capsular arteries may be present and an increased number may shift the preference to harvest the contralateral side |
| Size (diameter of) accessory renal arteries | Left: Right: | <2 mm polar arteries may be clipped. |
| Branching pattern of renal arteries: | Left: Early/Normal. Right: Early/Normal. | Required for surgical planning |
| Number of renal veins: | Left: Right: | Required for surgical planning |
| Confluence of renal veins: | Late/Normal. | Required for surgical planning |
| Course of renal veins: | Retroaortic/Circumaortic/Normal. | Note of retroaortic and circumaortic renal veins is important to aid surgical planning in nephrectomy and retroperitoneal surgery |
| Ureters: | Duplex/Normal. | This is not a contraindication, but is required to be identified |
| Renal scarring: | Left: Yes/No. Right: Yes/No. Extent: | |
| Renal position: | Normal/Horseshoe/Pelvic/Duplex/Crossed fused ectopia. | Horseshoe kidney and crossed fused ectopia are contraindications to renal donation. |
| During surgery a laprascopic approach is used, usually to harvest the left kidney though minor abnormalities in one kidney may favour that kidney being harvested in order to leave the normal kidney. | ||
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