About the Book
• The most comprehensive illustrated book published on the topic of Kidney and Pancreas Transplantation.
• Presents practical and focused information in a concise format for easy consultation and rapid reading.
• Examines the entire gamut of considerations for transplantation, including candidate evaluation, surgical techniques, and complications.
• Offers an extensive coverage of living and deceased donor kidney considerations.
• Multidisciplinary, featuring contributions from all involved specialties.
• Unique topics include epigenetics, imaging, complications, pathology, dermatologic manifestations, obesity and metabolic syndromes, and cutting-edge material on robotic surgical techniques.
• Divided into 22 sections including 72 chapters.
• Richly illustrated with full-color figures and photographs that clearly illustrate step-by-step surgical procedures and key concepts.
• This book fulfils the needs of a diverse audience of physicians.
About the Author
Vice Chairman, Department of Surgery, Director, Transplant Program, North Shore-LIJ Health System, Long Island, New York, USA
Professor, Departments of Surgery and Medicine, Hofstra North Shore–LIJ School of Medicine, Long Island, New York, USA
Table of Contents:
PART 1 Kidney Transplantation
Section 1 Overview
1. Overview of Kidney Transplantation 5
Christine Sardo Molmenti, Ernesto P Molmenti, Madhu Bhaskaran, Nicole Ali, Amit Basu, Eric Siskind, Viren Amin, and Collaborators
2. Diagnoses and Diagnostic Categories for Kidney Transplantation 9
Nicole Ali, Eric Siskind, Ernesto P Molmenti
Section 2 Recipient Evaluation
3. Kidney Transplant Recipient Evaluation:
Outcome Based Approach 11
Madhu Bhaskaran, Ankita Sagar, Eric Siskind, Nicole Ali, Amit Basu, Patrick R Smith, Stergiani Agorastos, Prejith P Rajendran,
Poornima Ramadas, Prathik Krishnan, Marcelo Mendez Jr
4. Sample Recipient Evaluation Form 17
Ernesto P Molmenti, Nicole Ali, Amit Basu, Madhu Bhaskaran
SECTION 3 Pre- and Post-Transplant Medical Considerations
5. Fluids and Electrolytes 21
Richard Barnett, Ezequiel Rodríguez Reimundes, RoseMarie Pasmantier, Asha Alex
6. Cardiac Evaluation 29
Alexander Lee, Mashael Al Anizi, Evelina Grayver, Regina S Druz, Nicole Ali
7. Pulmonary Evaluation 37
Arunabh Talwar, Sonu Sahni
8. Hematologic Evaluation 43
Mashael Al Anizi, Sabeen F Mekan, Craig Devoe
9. Gastroenterology and Hepatology Evaluation 47
Keith Sultan, Iuliana Shapira, David Bernstein
10. Nutritional Care 51
Louise Bongiorno
11. Obesity, Metabolic Surgery and Transplantation 57
Timothee Friesen, Charmaine Gentles, Larry Gellman, Dominick Gadaletaxxxvi Kidney and Pancreas Transplantation
12. Infections 61
David A Hirschwerk, Prashant Malhotra
13. Oral Health Evaluation Prior to Transplant Surgery 67
William Stewart
SECTION 4 Donor Evaluation
14. Deceased Donor Management 73
Michael J Goldstein
15. Donor Kidney Scoring Systems 79
Raghava B Munivenkatappa, Benjamin Philosophe
16. Deceased Donor Considerations 83
Georgios C Sotiropoulos, Andreas Paul
17. Infectious Risks Associated with Donors 85
Dorry Segev
18. Live Donor Evaluation 87
Mala Sachdeva
19. Psychiatric Evaluation of Live Donors 91
Joseph S Weiner, Blaine Greenwald, Barbara Ponieman
SECTION 5 Immunology
20. Transplant Immunology 95
Pallavi Patri, Thangamani Muthukumar
21. Immune Risk Profiling 103
Khalid Al Meshari, Abeed Pall
22. HLA and ABO Desensitization 107
Robert A Montgomery
23. Kidney Paired Donation 111
David Serur
SECTION 6 Pharmacology
24. Pharmacology 115
Antonette S Flecha, Donato F Tramontozzi
SECTION 7 Anesthesia
25. Anesthesia 119
Richard J GriecoContents xxxvii
SECTION 8 Operative Techniques: Donor
26. Live Donor Nephrectomy 123
Michael J Schwartz, Simpa S Salami, Lee Richstone, Louis R Kavoussi
27. Avoiding and Managing Hazards During Live Donor Nephrectomies 133
Carlos E Marroquin
28. Deceased Donor Procurement 139
Ernesto P Molmenti and Collaborators
SECTION 9 Operative Techniques: Recipient
29. Back Table Preparation 175
Ernesto P Molmenti and Collaborators
30. Implantation 183
Ernesto P Molmenti and Collaborators
31. Minimally Invasive Kidney Transplantation 205
Pranjal Modi, Akshay Sood, Wooju Jeong, Mahendra Bhandari, Rajesh K Ahlawat, Ramesh Kumar, Mani Menon
32. Implantation—Ureteroneocystostomy Techniques 215
Liise Kayler, Ernesto P Molmenti, Stuart Greenstein
33. Implantation—Ureteroureterostomy and Ureteropyelostomy 221
Liise Kayler, Ernesto P Molmenti, Stuart Greenstein
34. Implantation—Unilateral Dual Kidney Transplantation Technique 223
Liise Kayler
35. Implantation—Other Variants 225
Ernesto P Molmenti and Collaborators
36. Implantation—En Bloc Kidneys 233
Benjamin Philosophe, Alicia Eubanks, Amit Basu, Ernesto P Molmenti
37. Implantation—Complications 235
Ernesto P Molmenti and Collaborators
SECTION 10 Post-Transplant Considerations
38. Postoperative Guidelines 239
Ernesto P Molmenti and Collaborators
39. Allograft Function 241
Kellie Calderon
40. Critical Care Considerations in the Management of Renal Transplant Patients 245
Richard Barnett, RoseMarie Pasmantier, Asha Alex, Narendra Singh, Jeffrey Nicastroxxxviii Kidney and Pancreas Transplantation
41. Rejection 253
Ezra Israel, Edward Kraus
42. Recurrent Glomerular Diseases after Kidney Transplantation 257
Divya Monga, Hitesh H Shah
43. De Novo Glomerular Diseases Post-Transplantation 261
Kenar D Jhaveri, Mohini Alexander, Surya V Seshan
44. Neurologic Evaluation 267
Gabriel Pantol
45. Vascular Complications 273
Ernesto P Molmenti and Collaborators
46. Allograft Nephrectomy 279
Ernesto P Molmenti and Collaborators
47. Urologic Complications and Fluid Collections 281
Ernesto P Molmenti and Collaborators
48. Post-Transplant Malignancies 287
Khalid Al Meshari
49. Vaccinations 291
Jay Weinstein
50. Obstetric and Gynecologic Care 297
Jessica Lee, Andrew W Menzin
SECTION 11 Quality Management
51. The Role of Quality Management for Monitoring and Improving:
A Transplant Program 303
Yosef D Dlugacz, Andrea Restifo
SECTION 12 Basic Science
52. Epigenetics in Transplantation 309
Nirupama Chandel, Ashwani Malhotra, Pravin C Singhal
53. Ischemia Reperfusion 313
Matthew Giangola, Salil R Rajayer, Michael Kuncewitch, Adam Khader, Ping Wang
SECTION 13 Pediatric Kidney Transplantation
54. Pediatric Kidney Transplantation 317
Christine Sethna, Nataliya Chorny, Amit Basu, Adam Khader, Jose Prince, Ernesto P Molmenti, Ron ShapiroContents xxxix
SECTION 14 Pathology
Editor: Cinthia B Drachenberg
55. Renal Transplant Pathology 323
Megan L Troxell, John C Papadimitriou, Cinthia B Drachenberg
SECTION 15 Radiology
Editors: Mariano Volpacchio, Catherine D’Agostino, Christopher Palestro, W Mark Hamilton, Robin J Warshawsky, David Nagata,
Maximiliano de Rodrigo, John Pellerito, Ernesto P Molmenti
Pre-Transplant
56. Candidate Imaging 367
Mariano Volpacchio, Catherine D’Agostino, Christopher Palestro, W Mark Hamilton, Robin J Warshawsky, David Nagata,
Maximiliano de Rodrigo, John Pellerito, Ernesto P Molmenti, and Collaborators
57. Donor Evaluation 375
Mariano Volpacchio, Catherine D’Agostino, Christopher Palestro, W Mark Hamilton, Robin J. Warshawsky, David Nagata,
Maximiliano de Rodrigo, John Pellerito, Ernesto P Molmenti, and Collaborators
Post-Transplant
58. Collections 381
Mariano Volpacchio, Catherine D’Agostino, Christopher Palestro, W Mark Hamilton, Robin J Warshawsky, David Nagata,
Maximiliano de Rodrigo, John Pellerito, Ernesto P Molmenti, and Collaborators
59. Parenchymal Imaging 401
Mariano Volpacchio, Catherine D’Agostino, Christopher Palestro, W Mark Hamilton, Robin J Warshawsky, David Nagata,
Maximiliano de Rodrigo, John Pellerito, Ernesto P Molmenti, and Collaborators
60. Urologic Imaging 409
Mariano Volpacchio, Catherine D’Agostino, Christopher Palestro, W Mark Hamilton, Robin J Warshawsky, David Nagata,
Maximiliano de Rodrigo, John Pellerito, Ernesto P Molmenti, and Collaborators
61. Vascular Imaging 423
Mariano Volpacchio, Catherine D’Agostino, Christopher Palestro, W Mark Hamilton, Robin J Warshawsky, David Nagata,
Maximiliano de Rodrigo, John Pellerito, Ernesto P Molmenti, and Collaborators
62. Infections and Malignancies 445
Mariano Volpacchio, Catherine D’Agostino, Christopher Palestro, W Mark Hamilton, Robin J Warshawsky, David Nagata,
Maximiliano de Rodrigo, John Pellerito, Ernesto P Molmenti, and Collaborators
63. Various Findings 457
Mariano Volpacchio, Catherine D’Agostino, Christopher Palestro, W Mark Hamilton, Robin J Warshawsky, David Nagata,
Maximiliano de Rodrigo, John Pellerito, Ernesto P Molmenti, and Collaborators
SECTION 16 Cutaneous Manifestations
Editor: Julia R Nunley
64. Dermatologic Manifestations of Kidney Disease 465
Julia R Nunleyxl Kidney and Pancreas Transplantation
PART 2 PANCREAS TRANSPLANTATION
SECTION 17 Overview
65. Overview 501
Christine Sardo Molmenti, Angelika Gruessner, Jeffrey Nicastro, Gene Coppa, Christine E Gruessner,
Stefan A Gruessner, Horacio Rilo, Ernesto P Molmenti, Rainer Gruessner
SECTION 18 Operative Technique: Pancreas Recipient
66. Operative Technique 503
Christine Sardo Molmenti, Angelika Gruessner, Jeffrey Nicastro, Gene Coppa, Christine E Gruessner,
Stefan A Gruessner, Horacio Rilo, Ernesto P Molmenti, Rainer Gruessner
67. Back Table Preparation 509
Ernesto P Molmenti, Christine Sardo Molmenti, Jeffrey Nicastro, Gene Coppa, Horacio Rilo, Pablo Cesar Bassan,
Roberto M Verzaro, Veronica Claudia Gigena, and Collaborators
68. Implantation 513
Ernesto P Molmenti and Collaborators
SECTION 19 Complications
69. Complications 519
Christine Sardo Molmenti, Angelika Gruessner, Jeffrey Nicastro, Gene Coppa, Christine E Gruessner,
Stefan A Gruessner, Horacio Rilo, Ernesto P Molmenti, Rainer Gruessner
SECTION 20 Pathology
Editor: Cinthia B Drachenberg
70. Pancreas Allograft Pathology 523
Cinthia B Drachenberg, Megan L Troxell, John C Papadimitriou
SECTION 21 Radiology
Editors: Mariano Volpacchio, Catherine D’Agostino, Christopher Palestro, W Mark Hamilton, Robin J Warshawsky, David Nagata,
Maximiliano de Rodrigo, John Pellerito, Ernesto P Molmenti
71. Radiology 539
Mariano Volpacchio, Catherine D’Agostino, Christopher Palestro, W Mark Hamilton, Robin J Warshawsky, David Nagata,
Maximiliano de Rodrigo, John Pellerito, Ernesto P Molmenti, and Collaborators
PART 3 ISLET CELL TRANSPLANTATION
SECTION 22 Islet Cell Transplantation
Editor: Horacio Rilo
72. Islet Cell Transplantation 557
Horacio L Rodriguez Rilo, George Georgiev, Christine Sardo Molmenti, Renee Cercone, Ernesto P Molmenti
Index 565