Objetivo: Determinar la prevalencia y seroconversión anual de la infección por el virus de la hepatitis C (VHC) en centros privados de hemodiálisis en Lima, correlacionándolas con la historia transfusional y tiempo de permanencia en hemodiálisis (HD), identificando asimismo el grado de daño hepático y su repercusión en la lista de espera para trasplante renal (TR). Material y Métodos: Estudio descriptivo tipo transversal, en 128 pacientes portadores de insuficiencia renal crónica terminal (IRCT) que recibieron terapia de HD durante el mes de diciembre del año 2000. Se estudiaron las biopsias hepáticas de 20 pacientes portadores del VHC en evaluación pre-trasplante renal. Resultados: Anticuerpos anti-VHC estuvieron presentes en 76/128 (59%) de los pacientes. En 6/128 (4.5%) la infección fue mixta con el virus de la Hepatitis B (HBsAg) La seroconversión anual fue del 13% (6/...

Abstract Objective: To determine both kidneys from pediatric donors acceptance in block kidney transplantation. Material and Methods: Age of the six donors ranged form 14 months to 10 year-old. The death cause was cranial trauma. Receptors’ ages ranged between 15 and 48 years with weight less than 50 kg. Both kidneys were removed in block. The transplants surgical technique consisted of both terminal-lateral anastomosis of the donor’s aortic segment and inferior cava vein anastomosis to receptor’s iliac vessels; both ureters were separately anastomosed to the bladder. The allograph was located in one iliac fossa. Results: The block allograph worked immediately. Four of six receptors kept adequate renal function in an average of four years surveillance time. One of the block’s allograph was lost because of severe vascular rejection and another because of indiscipline in the use of...

Objective: To use both kidneys of an elderly donor in the same receptor and remark the importance of kidney histology as selector method. Materials and Methods: We evaluate the selection and surveillance of 11 patients who received double kidney of cadaver elderly donors. The ten donors’ mean serum creatinine was 1,3 mg/dL, and the mean age was 63 years old (range 56 to 73 years), the receptor’s mean age 53 years. Both kidneys were examined by frozen wedge biopsy. Quantification of damaged tissue was based on defined methodology. Kidneys with moderate microscopic lesions (score 4 to 6/12) were selected for double kidney transplantation. These were implanted extraperitoneally into each iliac fossa with both separate iliac external vessels and bladder-ureters anastomosis. Steroids and mycophenolat-mophetil represented the first line immunosupresor scheme. Results: None of the receptors...