Routine use of bilateral nephrectomy in renal transplant patients has been replaced by a careful evaluation of the indications for the procedure and the increasing appreciation of the contributions of non-excretory kidneys. These contributions are identified and the indications are discussed. When bilateral nephrectomy is required the clear superiority of the bilateral simultaneous posterior approach over other techniques is documented.
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Selwyn Z. Freed (1976) studied this question.
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