Standard Dressing Forceps — 25cm Kidney Transplantation

The 25cm-labelled standard dressing forceps serves deceased-donor and living-donor kidney transplantation — placement of the donor kidney in the recipient’s iliac fossa with anastomosis to the external iliac vessels. Kidney transplantation is the most common solid-organ transplant procedure worldwide, with approximately 100,000 procedures annually globally. The 25cm forceps reaches the iliac fossa through the standard Gibson incision and handles the iliac-vessel dissection.

The iliac-fossa heterotopic placement

The transplanted kidney is placed heterotopically in the iliac fossa rather than orthotopically replacing the native kidneys. The renal artery is anastomosed to the external iliac artery, the renal vein to the external iliac vein, and the ureter to the bladder dome. The 25cm dressing forceps handles the iliac-vessel exposure and the vascular adventitia during the anastomoses; the moderately deep iliac-fossa working depth matches the forceps length without requiring extreme operator wrist extension.

Living-donor kidney transplant trends

Living-donor transplantation has expanded substantially in the past 20 years, with paired-donation programmes enabling exchanges when direct living donation is incompatible. The 25cm forceps participates in both the donor-nephrectomy and the recipient-implant phases.