In renal transplantation, graft is placed in:

RENAL TRANSPLANTATION PROCEDURE Renal graft is placed in iliac fossa in retroperitoneal position, leaving the native kidney in-situQ Donor renal vein is anastomosed to external iliac veinQ Donor renal aery on Carrel's patch (Small poion of surrounding aoa) of donor aoa is anastomosed to external iliac aeryQ If donor renal aery lacks aoic patch (in cases of living donor renal transplantation), graft renal aery is anastomosed to internal iliac aeryQ Ureter is kept reasonably sho to avoid distal ischemia & anastomosed to bladder by: Lich-Gregoir Technique (PreferredQ): Direct implantation of ureter into dome of bladder with mucosa to mucosal anastomoses followed by closure over ureter to create a sho tunnel Lead-Better Politano techniqueQ