RESUMEN
PURPOSE: To report a single center experience with elective surgical patients as living kidney donors. METHODS: We retrospectively analyzed a prospective database of 458 living kidney donors from September 2005 to May 2011. Fifteen (3.2%) of them were elective surgical patients simultaneously undergoing living donor nephrectomy. We reviewed age, gender, operative time, intraoperative blood transfusion, intra- and postoperative complications, as well as length of hospital stay. Recipients were evaluated for delayed graft function. Four hundred forty-three patients undergoing living donor nephrectomy alone composed the control group. RESULTS: Among the elective surgical patients group, the mean (range) operative time was 155 (90 to 310) minutes and mean (range) length of hospital stay was 3 (2 to 9) days. One (6.7%) recipient displayed delayed graft function. Among the regular living kidney donors group, the mean (range) operative time was 100 (70 to 150) minutes, mean (range) length of hospital stay was 3 (2 to 5) days, and delayed graft function was observed in 5.6% of recipients. Only operative time (P = .03) was significantly different between the groups. CONCLUSIONS: Elective surgical patients are potential donors who may be treated at the same time as the living donor nephrectomy.
Asunto(s)
Adrenalectomía , Colecistectomía , Herniorrafia , Trasplante de Riñón/métodos , Donadores Vivos , Nefrectomía , Recolección de Tejidos y Órganos/métodos , Adrenalectomía/efectos adversos , Adulto , Anciano , Brasil , Distribución de Chi-Cuadrado , Colecistectomía/efectos adversos , Funcionamiento Retardado del Injerto/etiología , Procedimientos Quirúrgicos Electivos , Femenino , Herniorrafia/efectos adversos , Humanos , Trasplante de Riñón/efectos adversos , Longevidad , Masculino , Persona de Mediana Edad , Nefrectomía/efectos adversos , Estudios Retrospectivos , Factores de Riesgo , Factores de Tiempo , Recolección de Tejidos y Órganos/efectos adversos , Resultado del TratamientoRESUMEN
The absence of nipple-areola complex is a rare entity and is always associated with other anomalies. This paper described a case of bilateral athelia without other alterations. The atrophy of the dense mesenchyme due to absence of parathyroid hormone-related protein produced in epithelium may lead to nipple involution. Further cases should be studied to corroborate this theory.