The intraoperative and perioperative management of kidney transplantation

Each year about 160-170 individuals per million habitants need dialysis treatment due to the loss of the renal function. Renal transplant is, in this context, the treatment of choice for most patients affected by renal insufficiency. Kidney transplant is thus an effective treatment for renal disease that generally allows for a quantity and quality of life that is significantly superior to that offered by dialysis . Kidney transplant is a successful treatment for patients with chronic renal failure and around 80% of the kidneys are perfectly functioning, for the continuous improvement of the immunosuppressive therapies, thus involving ever larger bands of the population . In this perspective there is also an increase in the age of the transplantees that today is dose to 55 years. These conditions associated to an improved survival with dialysis support have determined an increase in the number of patients on the waiting list who, in the kidney transplant, takes on significant proportions, so that it has been necessary to try to increase the supply in order to deal with the growing demand. For this end, different strategic lines have been becoming popular, which we shall just list here.