Step 10 Delivery of the Allograft

Once the renal vein is safely divided, the kidney drops into the Endocatch bag. After ensuring that the entire kidney and ureter are in the bag, the ring cord on the device is pulled, closing the sac and entrapping the allograft. The handle of the bag and trocar are removed, and the surgeon's hand opens the peritoneal cavity, creating a defect large enough for atraumatic delivery of the kidney (Fig. 11).

The allograft should not be forced through an incision too small to accommodate it. If necessary, then skin and/or fascial incisions are extended, taking great care to protect intraperitoneal contents that may herniate into the wound.

The allograft is immediately immersed in ice slush and delivered to the recipient surgical team for immediate perfusion with iced preservation solution.

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