The postoperative course was uneventful. He was discharged on the seventh day after surgery. Six weeks after surgery, CT revealed disappearance of allograft hydroureteronephrosis and no sign of inguinal hernia recurrence with the serum creatinine stable at 1.0 mg/dL. Transplant ureteral obstruction due to inguinal hernia is a rare complication after kidney transplantation. However, transplant ureter or bladder herniation should be considered in the differential diagnosis of graft hydroureteronephrosis for preventing allograft loss.Objective The aim of this retrospective study is to evaluate and compare the incidence of acute kidney injury (AKI), defined as increase serum creatinine (SCr) of 0.3 mg/dl or increase in SCr to ≥1.5 times from baseline within 48 hour, in adult living donor liver transplantation patients performed with total cross clamp vs side clamp of the inferior vena cava (IVC). Methods and patients Sixty adult living donor liver transplantation (LDLT) patients were divided into 2 groups 30 patients in total IVC clamping (G1) and 30 in IVC side clamping (G2) during the anhepatic phase. Patients' characteristic, hemodynamic changes in percentage (%) as a result of different methods of IVC clamping, urine output during anhepatic phase were compared by using the Student t test, and the incidence of AKI were compared by using the χ2 test between groups. P value less then .05 was regarded as significant. Results The negative impact of the 2 different ways of IVC clamping was significantly more severe in G1 compared to G2; consequently, the urine output of G1 was significantly less than G2. Although there was significantly more urine output of G2 during the anhepatic phase, the incidence of the postoperative AKI between groups was similar. Conclusion The side clamp of the IVC had a significantly less negative impact on the hemodynamic parameters and provided sufficient urine output during the anhepatic phase (2.24 ± 3.17 vs 0.39 ± 0.33 mL/kg/h) compared to the total clamp of the IVC. But this favorable data did not protect the patient suffering from postoperative AKI in LDLT.Transplantology is one of the fastest growing specialties of medicine. However, data on actual students' knowledge in this field is lacking. Aim Assessing the education of medical students; level of current basic knowledge in the field of medicine, law, and statistics on transplantology in Poland. Methods Survey (with 48 questions) conducted among 165 medical students (1st-6th year). The average age was 22 years; 62.0% women. Results Only 29.7% of the respondents are blood donors, 36.4% are registered as a potential bone marrow donor, and 11.8% have the donor card. None of these factors had a clear impact on transplantology knowledge. The respondents obtained a result of 54.9% correct answers (medicine, 58.2%; law, 55.8%; statistic, 39.9%). An increase in the level of knowledge in subsequent years of education can be seen. Students in the first year marked 49.4% correct answers compared to people in the sixth year who marked 62.9% correct. Students base their knowledge about transplantation mainly on messages obtained in class (89.1%). The survey showed that 18.8% of respondents consider the family's consent for organ procurement from their deceased member as legally valid; 27.9% do not treat brain death as synonymous with death; and 9.1% believed that organ trafficking is allowed. Nobody is registered in the Central Register of Objections. Conclusions Despite the increase in the level of knowledge about transplantation during the study, it does not reach a satisfactory level. The number of sources of knowledge does not correlate with the quality of acquired knowledge.The progress of transplantation in Poland is influenced not only by medical staff, but also by the legislative organ, which approves amendments to the Act of the Collection, Storage and Transplantation of Cells, Tissues and Organs. This is why young lawyers should be aware of the scale of the problem and have current statistics on transplant issues. Aim To assess the awareness of existing problems in the field of transplantation in Poland among law students. Materials and methods A survey (with 11 questions) of 209 law students at the University of Bialystok (64% women and 36% men). Results Of respondents, 32% do not see the difference between dialysis treatment and transplantation, and 47% are convinced that the 5-year survival of dialysis patients is as much as 70% (in fact this number is twice as low). Still, 13% of people consider the stereotype of family consent for organ procurement is necessary. Of law students, 5% indicated that organ trafficking is allowed in Poland, and 41% believe that as many as 5% of people in Poland stated in writing opposition to removal of their organs after death. Fortunately, this number is much smaller (2%). The respondents have current knowledge about the place of Poland in the world in terms of the number of donors.  https://www.selleckchem.com/EGFR(HER).html  Relatively good results were recorded in questions about medical knowledge. Conclusions In most questions, the correct answer obtained the highest score, but it was not an absolute majority. There is a trend among law students for an optimistic approach to statistics and the real problems in transplantology.Background Adequate renal perfusion at the time of unclamping is important because it has been known to affect outcomes in renal transplantation. Nevertheless, the ideal intraoperative systolic arterial pressure (SAP) has not been well defined. Methods We performed a retrospective analysis of 106 living donor renal transplants performed at our center from June 2010 to May 2019. We divided the cohort into 2 groups according to our center's goal SAP of ≥150 mm Hg 57 patients had SAP ≥150 mm Hg and 49 patients had SAP less then 150 mm Hg. We analyzed pretransplant characteristics, intraoperative measurements, and postoperative laboratory values to validate our center's target SAP at the time of reperfusion. This study strictly complied with the Helsinki Congress and the Istanbul Declaration regarding donor sources. Results Patients with SAP ≥150 mm Hg had been on dialysis for a significantly shorter duration before transplant compared with those who had SAP less then 150 mm Hg. In the SAP ≥150 mm Hg group, urinary sodium excretion normalized earlier, and they had a significantly smaller stroke volume variation, higher cardiac output and cardiac index, earlier initial urination, and higher intraoperative urine output.