ABSTRACT
Morbid obesity in patients with chronic kidney disease is a contraindication for inclusion on the kidney transplant waitlist.Despite intentional weightloss,the persistence of the abdominal adipose panniculus poses postoperative risks, such as infection of the surgical site and seromas. We describe 2 cases of patients on hemodialysis who had a body mass index greater than 35 kg/m² who underwent abdominoplasty before transplant without perioperative complications. One patient received a living-related kidney transplant (donor was the brother) without complications.
Subject(s)
Abdominoplasty , Kidney Transplantation , Obesity, Morbid/surgery , Renal Dialysis , Renal Insufficiency, Chronic/therapy , Body Mass Index , Female , Humans , Living Donors , Middle Aged , Obesity, Morbid/complications , Obesity, Morbid/diagnosis , Renal Insufficiency, Chronic/complications , Renal Insufficiency, Chronic/diagnosis , Treatment Outcome , Waiting ListsSubject(s)
Developing Countries , Health Services Accessibility , Health Services Needs and Demand , Medical Missions/organization & administration , Plastic Surgery Procedures , Surgery, Plastic , Adult , Aged , Aged, 80 and over , Attitude of Health Personnel , Cleft Lip/surgery , Cleft Palate/surgery , Colombia , Developed Countries , Health Resources/organization & administration , Health Resources/supply & distribution , Humans , International Cooperation , Male , Medical Missions/supply & distribution , Middle Aged , Motivation , Public Health Administration , Plastic Surgery Procedures/statistics & numerical data , WorkforceABSTRACT
When a viable proximal facial nerve is not accessible, facial nerve paralysis has been managed with hypoglossal facial anastomosis, which results in varying degrees of hemiglossal atrophy and its sequelae. These authors have used the masseteric nerve to neurotize the facial nerve in one patient.
