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Donor Kidney Removed through Vagina allows Donor Release Same Day
In what is being heralded as a "first-ever procedure," surgeons removed a healthy kidney through a donor's vagina, the Johns Hopkins Medical Center has announced.
It is true that this procedure has been performed in the past, but only to extract non functioning or cancerous kidneys where the life or health of a patient were at risk.
the January 29 surgery was the first time it was done for donation purposes, the center said in a news release issued Monday.
The kidney was donated from Kimberly Johnson to her niece Jennifer Gilbert. The donor was chosen to be a first, for this type of surgery, because her previous hysterectomy allowed doctors to operate with less obstruction and risk that a healthy uterus would have presented.
This procedure is done by inserting "wand-like cameras and tools" through small incisions in the abdomen and navel.
Doctors then insert a hollow tube through the vagina with a bag at the end.
Once the kidney is cut loose, surgeons use video from the cameras to guide them as they maneuver the bag around the organ, place it in the tube and pull it out through the vaginal opening, Montgomery said.
A kidney weighs approximately one pound and is roughly the size of a clenched hand.
This procedure is not without controversy however, such as expressed by Dr. Jihad Kaouk, director of laparoscopic and robotic surgery at the Cleveland Clinic.
He added, "delivering a kidney from the vagina, which is not sterile -- is it a potential risk or a real risk? We'll find out now."
Kaouk also expressed concern over the quality of the kidney once it has been squeezed into a tube.
There are great advantages to the patients.
"If you asked our patient, she said it was like getting a tooth removed. She was walking that night and left the next day," Montgomery said.
According to Dr. Robert Montgomery, chief of transplant surgery at Johns Hopkins,
"Removing the kidney through a natural opening should hasten the patient's recovery and provide a better cosmetic result," Montgomery said.
He told CNN on Tuesday, "We want to make it easier for people to donate, to have less impact on their lives, [be] in hospital a shorter amount of time and get back to their lives quicker."
The question is if the gains are outweighed by the risks.
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Most RecentMost Recommended Comments (7)
at 07:59 on February 4th, 2009
I read about this, certainly wierd
at 08:03 on February 4th, 2009
Quite a remarkable procedure! Thanks for this story, harringtola!
at 10:15 on February 4th, 2009
Sounds a bit icky at first, but better than having a big scar across your abdomen I'd say.
at 12:00 on February 4th, 2009
so if a woman hadn't had a hysterectomy, would this still be possible I wonder?
Amazing though!
at 12:16 on February 4th, 2009
Good question Amy. I think it appears to be riskier. Not sure if the prior surgery done was on women who had had a hysterectomy or not.
at 16:22 on February 4th, 2009
Probably more information than I wanted.
at 16:16 on March 8th, 2009
Man that is just nasty! Doctors get more and more crazy these days hahaha