Approximately 1 hour and 45 minutes after the beginning of surgery, implantation in the receiver started with anastomosis of donor renal artery to hypogastric artery of receptor and renal vein of donor to hypogastric vein of receptor. Total duration of vascular anastomosis was 30 minutes. After observing the transplanted organ for 5 minutes, we found the kidney to be pale, ischemic, and presenting no signs of tissue perfusion. The procedure was then re-clamping the hypogastric artery and external iliac vein; the arterial anastomosis was undone and an incision was made in the renal vein near the anastomosis. Immediately after this procedure, we initiated graft reperfusion with Euro-Collins' solution in the surgical field. This procedure lasted 15 minutes. We initiated arterial anastomosis and renal vein suture after vessel patency.