Kidney Transplantation : Denervation, Reinnervation, Ischemia, Hypothermia

Preface; Survey of the literature; Consequences of kidney denervation in situ; The methods of kidney denervation; The functional state of the kidney after denervation in situ; The influence of a transplantation denervation on the kidney; The morophologic state of the kidney after the denervation in situ; The influence of a transplantation denervation on the kidney; The functional state of an auto-transplanted kidney; The morphologic state of the autotransplanted kidney; First attempts of surgical reinnervation of the kidney and other inner organs; Discussion of information about denervation and reinnervation of the kidney; Material and methods; The influence of surgical reinnervation on the functional state of denervated in situ and auto-transplanted kidneys; Radiological functional examinations; Partial and common excretion renal functions; Discussion of results of kidney functional investigations; Results of investigation of bio-potentials of the renal nerve; Discussion of results; The morophologic state of denervated and auto-transplanted kidneys by spontaneous and surgical reinnervation; The surgical reinnervation of the transplanted kidney: is it needed?; The influence of an ischemia on the kidney: survey of literature; The cooling of a kidney in experiments and clinics; Material and methods; Ischemia and hypothermic protection of the kidney; Radiologic evaluation of functional changes in kidneys after 2 hour ischemia in various temperature regimes; The discussion of kidney functional examination results ure conditions; The influence of a normothermic ischemia on the kidney; The influence of ischemia and hypothermia +4+7C on the kidney; The influence of ischemia and hypothermia +10+15C on the kidney; The influence of ischemia and hypothermia +20+25C on the kidney; Results of examinations of kidneys in the control animal group; Discussion of kidneys morphologic investigation results; The kidney transplant cooling; Results of a practical application of apparatus for the local renal hypothermia in experiments and clinics; Employment of apparatus in organ transplantations; Employment of apparatus for local renal hypothermia in experiments and by nephrotomy and partial resection of a "dry" kidney in the clinic; Discussion of clinical results; Conclusions; Index.