Abstract
We report a rare case of living renal transplantation surgery without monopolar cautery. The recipient was a 30-year-old woman with a chronic kidney disease, who had undergone a cochlear implant surgery because of being severely hard of hearing. The electrical current might have induced severe damage to the artificial ear, so the use of monopolar cautery was prohibited in such a patient with an artificial ear. The transplantation was performed using other energy-based surgical devices such as ultrasonic, bipolar and heat derived shears. The surgery was completed safely, and no serious adverse events have been observed. We consider that living renal transplantation without monopolar cautery may be undergone safely by using other energy-based surgical devices.