Hanyang Med Rev.
2006 Aug;26(3):27-31.
Kidney Retransplantation
- Affiliations
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- 1Division of Vascular and Transplant Surgery, Department of Surgery,College of Medicine, The Catholic University of Korea, Korea. ismoon@catholic.ac.kr
Abstract
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Renal transplantation is the optimal treatment for end stage renal disease and it has significantly improved the quality and length of life of transplant recipients. It has led to an increasing number of transplant recipients with failed primary allografts due to rejection or other causes and the recipients must decide whether to return to dialysis or seek retransplantation. Although recently, the frequency of retransplantation has begun to increase gradually and retransplantation have presumed to be a favorable option in some articles, there are limitations (little data) to support this. The results of retransplantation is dependent on recipients, such as patients with recurrent renal disease, recipient comorbidities, previous transplant graft outcome, and the expected wait time to retransplant operation. The use of potent and appropriate immunosuppression and surgical technique for retransplantation could help to improve results.