Figure 179

Bilateral pretransplantation native nephrectomy has been advocated to reduce the likelihood of recurrence of nephritis in renal transplantations. The data shown here indicate that of 364 transplantations in patients with a diagnosis of primary glomerulonephritis, an increased recurrence rate exists in those 61 patients with bilateral pretransplantation nephrectomies compared with the 303 patients without nephrectomy (24.6% vs 12.2%; P < 0.02) [18]. Overall, 14% of patients having transplantation developed recurrent glomerulonephritis (panel A), and 52% of grafts in these patients failed (panel B). Thus, pretransplantation nephrectomy has no place in preventing recurrent nephritis. (From Odorico and coworkers [18].)

0 0

Post a comment