To speak of renal transplantation in scientific terms must go back to the early twentieth century when Ullmann in 1902 announced the first kidney transplant in a dog, but it’s the middle of this century when this surgery becomes a real treatment option, especially from 1954 when Murray performed the first successful transplant between twin brothers.
The technique of transplantation has changed little over the decades, confined, in most cases, heterotopic in its location at the level of the iliac fossa with anastomosis of renal artery and vein to the external iliac vein and artery and ureter to the bladder as different techniques uréterocisto-neostomÃa.
There has been much evolution of surgical techniques but the emergence of new and improved immunosuppressive the cause of the excellent results obtained in the graft survival rate, reaching 90% in the first year in the most experienced centers, Although we must not forget that the best knowledge and management of the arteries and veins and the use of vascular patches have allowed a group of transplanted kidneys that were discarded years ago. (more…)
If we review the classic texts of the century the management of perinephric and