Frequent salvage of ruptured renal allografts: a large single center experience.

Our experience with 22 renal allograft ruptures (AR) in 4418 transplant recipients over a 20-yr period was reviewed. Fourteen of the 22 ruptured allografts were repaired and eight underwent nephrectomy. All of the repaired AR functioned for 1 yr and 64% functioned at 5 yr. Human leukocyte antigens (HLA) matched and living donor cohorts were predictive factors of salvage. In this large group, renal AR was frequently rescued by primary repair with excellent long-term outcome.