Dr. Nalaka Gunawansa

Research publications

Publications by Dr. Nalaka Gunawansa and collaborators, with journal references and links to available papers.

History and Evolution of Vascular Surgery in Sri Lanka: The Journey and Ongoing Challenge

Gunawansa N, Cassim R, Wijeyaratne M · European Journal of Vascular and Endovascular Surgery (Editorial) · 2026

This editorial traces the development of vascular surgery in Sri Lanka from its early focus on amputation to modern arterial reconstruction, limb salvage, endovascular therapy, and specialist training. It highlights the pioneers, institutions, clinical advances, and resource constraints that shaped the specialty, while examining the close relationship between vascular surgery and renal transplantation and the challenges that remain for expanding endovascular care.

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DOI: 10.1016/j.ejvs.2026.07.062

En Bloc Dual Kidney Transplantation from Paediatric Donors in Sri Lanka

Senthitkumaran S, Arudchelvam J, Gunawansa N, Kumari LEDI, Indunil LA · Ceylon Medical Journal, Vol. 71, No. 2, pp. 54–56 · 2026

We report three cases of en bloc dual kidney transplantation (EBKT) from paediatric deceased donors (ages 3–7 years) performed in Sri Lanka. In all cases the donor aorta and inferior vena cava were anastomosed to the recipient's external iliac vessels. Two recipients demonstrated immediate graft function; one developed transient acute tubular necrosis with subsequent recovery. All recipients were discharged with satisfactory graft function. This series demonstrates that EBKT from paediatric donors is a feasible and safe option with favourable early graft outcomes, and may represent a valuable strategy to expand the donor pool in resource-limited settings.

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DOI: 10.4038/cmj.v71i2.10289

A Rare Presentation of Haemobilia with Acute Pancreatitis: A Case Report

Nandasena M, Dissanayake G, Madhawa H, Dewasirinarayana Y, Ganewatte E, Gunawansa N, Peiris R, Samaranayake JE · BMC Surgery, Vol. 26, No. 337 · 2026

We report a rare case of haemobilia caused by a large common hepatic artery (CHA) and right hepatic artery (RHA) aneurysm with a common bile duct (CBD) fistula, presenting with acute pancreatitis and upper gastrointestinal bleeding. Following stabilization, operative management included CBD exploration with clot evacuation, fistula oversewing, cholecystectomy, Roux-en-Y hepaticojejunostomy, and ligation of the CHA proximal to the aneurysm. One-year post-operative follow-up angiogram showed complete thrombosis of the aneurysm with preserved hepatic perfusion.

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DOI: 10.1186/s12893-026-03568-x

Successful Transplantation of Kidneys from Living Donors with Renal Artery Aneurysms: Exploring New Avenues

De Fonseka HFDG, Vishwajith RMP, Gunawansa N · Indian Journal of Transplantation, Vol. 20, Issue 1 · 2026

We report two successful renal transplantations from altruistic living donors with incidentally detected renal artery aneurysms (RAAs), both managed with ex vivo surgical reconstruction during bench surgery. Both recipients had immediate graft function and uneventful postoperative recovery. Renal function remained normal in both donors and recipients over 6-month follow-up. Transplantation using kidneys from altruistic live donors with RAAs is feasible and safe with meticulous surgical planning and ex vivo reconstruction, offering a promising avenue for expanding the donor organ pool.

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DOI: 10.4103/ijot.ijot_144_25

In-Vitro Renal Artery Reconstruction and Auto-Transplantation in Reno-Vascular Disease Not Amenable to Non-Surgical Therapy

Nalaka Gunawansa, Supun Godahewa, Damitha Fonseka, S. Shiyanth, Indika Kalahe, Janitha Gunarathne, P. Viswajith, Prasanga Ruwanpathirana · Journal of Bangladesh Vascular Society (JBVS), Vol. 2, No. 1 · 2025

We report our experience with 07 cases of renal artery stenosis or aneurysm (04 RAS, 03 RAA) where successful surgical reconstruction and auto-transplantation was done after failed medical and endovascular management. In vitro repair using autogenous great saphenous vein followed by auto-transplantation to the right iliac fossa offers a viable and safe salvage option for complex renovascular pathology.

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DOI: J Bang Vasc Soc 2025;2(1):21-25

Autologous Renal Transplant for Critical Renal Artery Stenosis in Takayasu Arteritis: a Case Report and a Literature Review

Ruwanpathirana P, Palliyaguru T, Godahewa S, Shiyanth S, Gunawansa N, Atukorala I · SN Comprehensive Clinical Medicine · 2025

A 29-year-old Sri Lankan female with Takayasu arteritis presented with treatment-resistant hypertension. Despite medical therapy and failed endovascular intervention, autologous renal transplantation successfully controlled her blood pressure. This case highlights innovative surgical solutions for complex renovascular hypertension.

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DOI: 10.1007/s42399-025-01978-1

Biliary complications following orthotopic liver transplantation: a 10-year audit

Gunawansa N, et al. · PubMed · 2011

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Quest for Tolerance: Current State of Tolerance: The Holy Grail

Gunawansa N · PeerTechz Publications · 2022

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Training vascular and transplant surgeons: The time for change is now

Gunawansa N, et al. · Journal of Vascular Surgery · 2018

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The Future of Vascular Access for Dialysis Patients, Realities and Expectations

Gunawansa N, Wijewickrama ES · PubMed Central · 2018

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Multiple Renal Arteries in Live Donor Renal Transplantation; Impact on Graft Function and Outcome: A Prospective Cohort Study

Gunawansa N, et al. · Scientific Research Publishing · 2020

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Carotid Stroke Case: Free-Floating Thrombus in the Internal Carotid Artery

Gunawansa N, et al. · World Journal of Surgical Research · 2016

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Perforator Vein Dilemma: The Role of Perforator Vein Ligation in Chronic Venous Insufficiency

Gunawansa N · International Journal of Vascular Surgery and Medicine · 2019

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Crossmatch Strategies in Renal Transplantation: A Practical Guide for the Practicing Clinician

Gunawansa N, et al. · ResearchGate · 2017

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Preventing Deep Vein Thrombosis and Pulmonary Embolism after Coronary Artery Bypass Grafting Surgery

Gunawansa N, et al. · Japanese Journal of Vascular Surgery · 2011

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Transplant Renal Artery Stenosis: Urgent and Emergent Management

Gunawansa N, et al. · Indian Journal of Transplantation · 2021

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Initial clinical assessment of non-traumatic acute limb ischaemia: A high degree of suspicion is pivotal in timely intervention

Gunawansa N, Cassim MRN, Abayadeera A · ResearchGate · 2017

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Management of the Failing Renal Allograft: An Enigma with No Easy Solutions

Gunawansa N, Rampersad A · Egyptian Society of Nephrology and Transplantation · 2021

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Masson Hemangioma in a Brachial Artery Aneurysm: A Case Report and Review of the Literature

Gunawansa N, et al. · International Journal of Vascular Surgery · 2021

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Live Donor Renal Transplantation in Sri Lanka

Gunawansa N, et al. · Transplantation Journal · 2012

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Lymphocele after Renal Transplantation: A New Look at an Age-Old Problem

Gunawansa N, et al. · ResearchGate · 2019

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Renal Artery Aneurysms Managed by Autotransplantation: Case Reports

Gunawansa N, et al. · ResearchGate · 2018

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Post-Transplant Lymphoproliferative Disorder: A Clinical Perspective

Gunawansa N, et al. · ResearchGate · 2019

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Renal transplantation in patients with a history of venous thrombo-embolism - Is it worth the risk?

Gunawansa N, et al. · Sri Lanka Journal of Surgery · 2018

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Renal transplantation: bridging the gap between development and the developing world

Gunawansa N, et al. · World Journal of Transplantation · 2022

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Hemodialysis Catheter-Related Central Venous Thrombosis: Clinical Approach to Evaluation and Management

Gunawansa N · Journal of Vascular Surgery · 2019

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Renal Patient Vaccination: COVID-19 Vaccination in Renal Transplant Recipients

Gunawansa N, et al. · Oxford University Research Archive · 2021

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Intravenous Fracture of a Peripheral Cannula

Gunawansa N, et al. · Case Reports in Clinical Medicine · 2018

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Surgical site infections in renal transplant patients: A 5-year analysis of a single center experience

Gunawansa N, et al. · Clinical Surgery Group · 2020

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Deep Neural Network Hyper-Parameter Settings for Surgical Procedures Optimization

Gunawansa N, et al. · Trends in Transplantation · 2022

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Training vascular surgeons in venous surgery and stenting: A comprehensive approach

Gunawansa N · Journal of Vascular Surgery: Venous and Lymphatic Disorders · 2023

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Total Endovascular Approach to Aortic Aneurysm Repair: Outcomes and Recommendations

Gunawansa N, et al. · Sri Lanka Journal of Surgery · 2019

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Challenges in Vascular Access for Hemodialysis in the Developing World

Gunawansa N · Clinical Surgery Group · 2021

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Renal transplantation in diabetic nephropathy: A single center experience

Gunawansa N, et al. · Sri Lanka Journal of Surgery · 2018

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Vascular access for haemodialysis: A review of modalities, outcomes and complications

Gunawansa N, et al. · Journal of Vascular Access · 2017

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Vascular surgeons response to the COVID-19 pandemic: An international perspective

Gunawansa N, Schanzer A, et al. · Journal of Vascular Surgery · 2020

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Impact of COVID-19 on the kidney transplant program in a low-resource setting

Gunawansa N, et al. · MedRxiv · 2020

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Kidney transplantation in patients with a history of cerebro-vascular accidents

Gunawansa N, et al. · Transplantation Proceedings · 2015

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Perioperative management of patients with renal dysfunction in vascular surgery

Gunawansa N, et al. · Anesthesia Journal · 2021

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Vascular access infection in hemodialysis: Comprehensive review and management guidelines

Gunawansa N · Clinical Surgery Group · 2020

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Arteriovenous Fistula Creation: Comprehensive Review of Best Practices

Gunawansa N, et al. · Scientific Research Publishing · 2019

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Liver transplantation in Sri Lanka: Current status and future directions

Gunawansa N, et al. · PubMed · 2011

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Post-transplant Venous Thrombosis: Clinical Management and Outcomes

Gunawansa N · International Journal of Vascular Surgery and Medicine · 2021

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Critical Limb Ischemia: Diagnostic and Therapeutic Challenges

Gunawansa N, et al. · World Journal of Surgical Research · 2018

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Deep Vein Thrombosis Prevention in High-Risk Surgical Patients

Gunawansa N, et al. · Japanese Journal of Vascular Surgery · 2017

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Machine Learning Applications in Predicting Vascular Surgery Outcomes

Gunawansa N, et al. · Journal of Clinical and Medical Sciences · 2022

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Varicose Veins: Current Management Guidelines Based on Global Best Practices

Gunawansa N · Trends in Transplantation · 2023

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Ethical Considerations in Transplant Tourism: A Systematic Review

Gunawansa N, et al. · World Journal of Transplantation · 2022

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