Evidence map›Paper›PMID 41393054›Full record

ArticleJournal of surgical case reports2025

Living donor kidney transplantation in a patient with inherited skin fragility disorder in a resource-limited setting: a case report.

Sasho Dohchev, Aleksandar Trifunovski, Dimitar Trajkovski, Josif Janchulev, Aleksandra Gavrilovska Brzanov, Zaklina Shterjova Markovska, Ivana Dohcheva Karajovanov, Irena Rambabova Bushljetik, Goce Spasovski

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sasho DohchevUniversity Clinic for Urology Faculty of Medicine, Ss. Cyril and Methodius University, Majka Tereza 17, 1000 Skopje, RN  Macedonia.
Aleksandar TrifunovskiUniversity Clinic for Urology Faculty of Medicine, Ss. Cyril and Methodius University, Majka Tereza 17, 1000 Skopje, RN  Macedonia.
Dimitar TrajkovskiUniversity Clinic for Urology Faculty of Medicine, Ss. Cyril and Methodius University, Majka Tereza 17, 1000 Skopje, RN  Macedonia.
Josif JanchulevUniversity Clinic for Urology Faculty of Medicine, Ss. Cyril and Methodius University, Majka Tereza 17, 1000 Skopje, RN  Macedonia.
Aleksandra Gavrilovska BrzanovDepartment for Anesthesia, Reanimation, and Intensive Care, University Clinic for Traumatology Orthopedic Disease, Faculty of Medicine, Ss. Cyril and Methodius University, Majka Tereza 17, 1000 Skopje, RN  Macedonia.ORCID https://orcid.org/0000-0001-9593-2502
Zaklina Shterjova MarkovskaUniversity Clinic for Nephrology Faculty of Medicine, Ss. Cyril and Methodius University, Majka Tereza 17, 1000 Skopje, RN  Macedonia.
Ivana Dohcheva KarajovanovUniversity Clinic for Dermatology Faculty of Medicine, Ss. Cyril and Methodius University, Majka Tereza 17, 1000 Skopje, RN  Macedonia.
Irena Rambabova BushljetikUniversity Clinic for Nephrology Faculty of Medicine, Ss. Cyril and Methodius University, Majka Tereza 17, 1000 Skopje, RN  Macedonia.
Goce SpasovskiUniversity Clinic for Nephrology Faculty of Medicine, Ss. Cyril and Methodius University, Majka Tereza 17, 1000 Skopje, RN  Macedonia.ORCID https://orcid.org/0000-0001-5628-2500

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kidney transplantation in individuals with congenital skin fragility diseases is exceedingly uncommon due to perioperative concerns such as compromised wound healing, respiratory complications, and issues with vascular access. Herein, we report a case of successful living-donor kidney transplantation in a 37-year-old male with dystrophic epidermolysis bullosa and end-stage renal disease. Multidisciplinary planning, customized anesthesia, and protective intraoperative measures are essential to avoid these problems. Epidural anesthesia combined with mild sedation facilitated surgery without the need for airway instrumentation, while meticulous handling maintained skin integrity. The operation and recovery were unremarkable, and the graft function was maintained at 12 months. This case demonstrates that complex transplantation is achievable in environments with limited resources, through personalized perioperative treatment and interdisciplinary cooperation.

Indexed as

end-stage renal diseaseepidermolysis bullosa dystrophicainherited skin fragility disorderkidney transplantation

Identifiers

PMID41393054
PMCPMC12701567

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.