[Kidney transplant program at the Instituto Nacional de Cardiologia Ignacio Chavez]. / Programa de trasplante renal en el Instituto Nacional de Cardiología Ignacio Chávez.

The first renal transplant was done on July 22, 1968 and until December, 2010 a total of 865 procedures have been performed. Immunosuppressive protocols have changing with time: from 1968 to 1984 azathioprine + prednisone plus total radiation in some cases; from 1985 to 1998 cyclosporine + azathioprine + prednisone; in 1998 tacrolimus is used for first time; Mofetil micofenolate was available at 2005 and practically has displaced to azathioprine. As far as possible we use some induction therapy. Primary ESRD etiologies were: unknown (74.9%), glomerulonephritis (9.7%) and diabetic nephropathy (4.2%). Recipient's mean age was 29.9 +/- 11.6 years (12-70) and 35 +/- 9.8 years (18-62) in donors. Analysis group for graft and patient survival included 292 transplants (censured for death with functional graft) with a follow-up of 103 months (CI 95%: 99-108). Survival at 1, 5 and 10 years were: 95, 85 and 60% for graft as well as 100, 94 and 90% for patient. In year 2000 we started to perform renal biopsies at transplant (time zero biopsies), those results have been published and at present are a worldwide reference. In September, 2005 laparoscopic donor nephrectomy is initiated, 180 procedures have been done with excellent results. In year 2006, training in renal transplant acquires the endorsement as a Medicine Posgrade recognized by the UNAM School of Medicine. We have participated in 9 national clinical trials and 6 international multicentric ones. Our renal transplant program offers a good choice for patients with low resources with similar results reported in the literature using current immunosuppressive schemes and surgical procedures. Institutional authorities and humanitarian associations support in addition to participation on investigation studies have been of vital importance.

Trasplantes de órganos y tejidos en México / Organ and tissue transplants in Mexico

A report is submitted on the activities carried out by National Transplant Center of Mexico and special importance is given to the state transplant councils. Information is provided in a comparative form on the activities of the last ten years as well as those of the states.

Se informa sobre la actividad desarrollada por el Centro Nacional de Trasplantes, destacando la participación de los consejos estatales de trasplantes en las diferentes entidades federativas del país en materia de donación y trasplantes. Se proporcionan datos sobre la actividad en el último decenio en forma comparativa, así como en las entidades federativas.

[Organ and tissue transplants in Mexico]. / Trasplantes de organos y tejidos en México.

A report is submitted on the activities carried out by National Transplant Center of Mexico and special importance is given to the state transplant councils. Information is provided in a comparative form on the activities of the last ten years as well as those of the states.

Extravasación de orina espontánea por cálculo ureteral obstructivo: informe de dos casos y revisión de la literatura / Spontaneous urine tissular leak caused by ureteral calculus: report of two cases and literature review

Se presentan dos casos de extravasación espontánea de orina por rotura de la vía, secundaria a obstrucción ureteral distal por cálculo. El diagnóstico se estableció con urografía intravenosa, ultrasonografía y tomografía axil computadorizada. En ambos enfermos, la extracción del cálculo resolvió la extravasación. Se revisan etiopatogenia, cuadro clínico y diagnóstico diferencial. Está indicado el tratamiento de su etiología y la recuperación morfofuncional completa suele ser regla.