Donor evaluation: Discuss criteria of selection and management
- Living related donors
- The significance of histocompatibility testing
- Methods of assessment; history, physical, laboratory tests, radiographic studies
- Cadaver donors
- The role of histocompatibility testing
- Diseases precluding kidney donation
- Methods used to optimize renal function prior to nephrectomy
- Determination of brain death
- Risk factors
- Alternate forms of treatment
- Indications for pre-transplant nephrectomy
- Evaluation of the lower urinary tract
Renal perfusion and preservation: Should understand the following:
- The reason for flushing and cooling
- The major techniques of renal perfusion and preservation
- The composition of a satisfactory perfusate
- Approaches for improving renal viability
- Acquire competence in the proper technique of live and cadaver donor nephrectomy.
- Acquire competence in the technique of vascular anastomosis in transplantation including:
- Uncomplicated adult transplant
- Acquire competence in methods of urinary tract restoration including ureteroneocystostomy and ureteropyelostomy.
- Acquire competence in the management of post-operative surgical complications including ureteric obstruction, necrosis, fistula, and lymphocele.
- Understand the mechanism of rejection, its clinical manifestations and diagnosis.
- Understand the methods (including their complications) used for the prevention and treatment of rejection.