PMC8373511_01
Picture taken before reperfusion of the horseshoe kidney, immediately after completion of anastomosis between inferior end of donor aorta and IVC to the common iliac artery and vein, respectively.
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The en bloc kidneys were placed within the retroperitoneal space, and the inferior ends of the aorta and IVC were trimmed to appropriate lengths and then anastomosed end to side to the common iliac artery and vein respectively using 6.0 polypropylene sutures (Figure 3).
Anatomy of horseshoe kidney allograft in the retroperitoneal space after reperfusion.
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The kidneys perfused very well and started making urine intraoperatively (Figure 4).
Partial closure of wound using a biological mesh in order to reduce tension in the wound and prevent increased intra-abdominal pressure secondary to the large allograft size.
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Biological mesh was used for abdomen closure to avoid high intra-abdominal pressure (Figure 5).