Browsing by Author "Shrestha, Badri Man"

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    Injury to a Transplanted Kidney During Caesarean Section:A Case Report
    (Başkent Üniversitesi, 2007-06) Shrestha, Badri Man; Raftery, Andrew Thomas; McKane, William; Throssell, David
    As fertility is restored after renal transplant, more female recipients of a renal transplant successfully complete pregnancies that are safe for the mother, the fetus, and the renal allograft. Although the transplanted kidney lies in one of the iliac fossae, normal vaginal delivery is not impeded by this positioning. Caesarean section is indicated in many scenarios, primarily for obstetric reasons, particularly when the transplanted kidney lies in a position where it could be injured. Here, we report our experiences managing a rare instance of injury to a transplanted kidney during caesarean section and discuss the relevant aspects of its management. To our knowledge, this is the first report in the English literature of an injury to a transplanted kidney during caesarean section.
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    Strategies for Reducing the Renal Transplant Waiting List: A Review
    (Başkent Üniversitesi, 2009-09) Shrestha, Badri Man
    Renal transplant is the optimum form of therapy for most patients with end-stage renal failure, because that treatment results in a significant improvement in the patient’s quality of life and is cost-effective. The exponential increase in the number of patients on the renal transplant waiting list globally has become a serious problem fueled by an increase in the number of patients with end-stage renal disease, the shortage of organs for transplant, and the failure of transplanted kidneys for various reasons. Strategies are being used by transplant professionals to retard the progression of chronic kidney disease, increase organ donation, reduce the acute rejection rate, and prevent transplant losses. This paper provides an up-to-date review of the interventional strategies used to reduce the ever-increasing renal transplant waiting list.