Background 
Donor nephrectomy (DN) is an important aspect of  kidney transplantation. It entails safe retrieval of a healthy renal allograft from a donor for this purpose. Over the last 2 decades, open DN has given way to minimal invasive techniques like laparoscopic and robotic DN. However, DN via a mini-incision has gained popularity in many parts of the world as a suitable alternative to LDN especially were there are lack of facilities or expertise for LDN or robotic DN. Mini-incision donor nephrectomy (MIDN) is a modification of the ODN with incisions of<12cm in length and has been found to offer an acceptable scar, duration of hospital stay, pain assessment and generally less mobidity than with the traditional ODN. This study aims to describe our experience with mini-flank incision DN among Nigerian patients.
Patients and Methods
A prospective review of all donor nephrectomy patients performed in a single Nigerian kidney transplantation centre over a 30-months duration was made. Information obtained from these patients were classified as pre-, intra- and post-operative. Data include socio-demographic characteristics, pre-operative preparation, details of intra-operative techniques like side of donor nephrectomy, length of incision, duration of surgery, intra-operative complications,1st  warm ischemic time and post-operative findings eg  post-operative pain, days on admission, analgesic requirements, duration of ileus, commencement of oral intake and and cosmetic outlook  of the scar. These were entered into a proforma and analyzed using SPSS version 21.
Results
A total of 304 patients underwent ODN during the study period, of which 230 (75.6%) had MIDN. Mean duration of  the surgery was 130±28 minutes .MIDN  was mostly performed on patients with BMI of <30kg/msq  and these patients had better post-operative pain control. Oral intake and ambulation was commenced on 1st day post-op and the cosmetic outcome was acceptable in over 90% of kidney donors.
Conclusion
Mini-incision for Donor Nephrectomy through the flank approach is a suitable alternative to laparoscopic donor nephrectomy in the developing world were facilities and skills for laparoscopic or robotic nephrectomies are unavailable. It offers shorter operating time and 1st warm ischemic time with comparable morbidity rate.
 

Introduction: 
Lung transplantation has become a frequent medical procedure to treat end-stage congenital and acquired respiratory diseases [1]. This extensive aciurgy can prolong longevity of life and improve quality of life but can also lead to a variety of complications and alter the life of the recipient forever. In addition to the profound physical changes the procedure causes in the body [2], transplantation results in surgery-related psychological impacts, medication side effects, and lifestyle changes [3]. Lung transplant recipients who disclose their medical information experience a wide variety of responses. Interactions with family, friends, healthcare workers, and even strangers are impacted by the ideas, concepts, biases, and post-surgery and recovery expectations of recipients. The way in which these perceptions may affect recipients varies depending on the negative or positive tone of them, the context they are given and, most importantly, how the recipient believes society or others perceive them [4], [5]. There is limited research on recipients’ psychological functioning, specifically health-related quality of life (HRQOL), regarding self- perception and how one believes others perceive them, known as metaperception [4]. How, if at all, do self-perception and metaperception influence patients’ health-related quality of life, and what role do factors like resiliency and autonomy play in determining HRQOL outcomes?  
Treatment:
To measure these psychological factors, participants who are involved in lung transplant support groups will be recruited from a variety of social media platforms (e.g. Facebook, Reddit). Subjects will first fill out a 9-item demographic questionnaire regarding age, gender, ethnicity, employment status, and lung transplant information. This questionnaire will take about 2-5 minutes to complete.
Participants will then self-report measures of resiliency, utilizing the Nicholson McBride Resilience Questionnaire (NMRQ) [5]; autonomy, utilizing the Maastricht Personal Autonomy Questionnaire [6]; and self-esteem, utilizing Rosenberg Self Esteem Scale [7], via Qualtrics online. A multiple linear regression will be run to determine significant factors that will predict HRQOL in lung transplant recipients. Data collection will start following IRB approval. 
Conclusions:
Providers, specifically health psychologists, should be aware of and acknowledge the complex factors patients face after transplantation. The procedure is lifelong commitment that carries profound adjustments in a patient’s lifestyle. A deeper understanding of how psychological factors influence transplant patient well-being will aid mental health care providers in addressing the unique needs of transplant recipients and working towards better post-operative psychological health outcomes. Future research will aim to understand how these psychological constructs affect future transplant patients.