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.
Read publicationDOI: 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.
Read publicationDOI: 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.
Read publicationDOI: 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.
Read publicationDOI: 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.
Read publicationDOI: 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.
Read publicationDOI: 10.1007/s42399-025-01978-1
Biliary complications following orthotopic liver transplantation: a 10-year audit
Gunawansa N, et al. · PubMed · 2011
Read publicationQuest for Tolerance: Current State of Tolerance: The Holy Grail
Gunawansa N · PeerTechz Publications · 2022
Read publicationTraining vascular and transplant surgeons: The time for change is now
Gunawansa N, et al. · Journal of Vascular Surgery · 2018
Read publicationThe Future of Vascular Access for Dialysis Patients, Realities and Expectations
Gunawansa N, Wijewickrama ES · PubMed Central · 2018
Read publicationMultiple 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
Read publicationCarotid Stroke Case: Free-Floating Thrombus in the Internal Carotid Artery
Gunawansa N, et al. · World Journal of Surgical Research · 2016
Read publicationPerforator Vein Dilemma: The Role of Perforator Vein Ligation in Chronic Venous Insufficiency
Gunawansa N · International Journal of Vascular Surgery and Medicine · 2019
Read publicationCrossmatch Strategies in Renal Transplantation: A Practical Guide for the Practicing Clinician
Gunawansa N, et al. · ResearchGate · 2017
Read publicationPreventing Deep Vein Thrombosis and Pulmonary Embolism after Coronary Artery Bypass Grafting Surgery
Gunawansa N, et al. · Japanese Journal of Vascular Surgery · 2011
Read publicationTransplant Renal Artery Stenosis: Urgent and Emergent Management
Gunawansa N, et al. · Indian Journal of Transplantation · 2021
Read publicationInitial 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
Read publicationManagement of the Failing Renal Allograft: An Enigma with No Easy Solutions
Gunawansa N, Rampersad A · Egyptian Society of Nephrology and Transplantation · 2021
Read publicationMasson Hemangioma in a Brachial Artery Aneurysm: A Case Report and Review of the Literature
Gunawansa N, et al. · International Journal of Vascular Surgery · 2021
Read publicationLive Donor Renal Transplantation in Sri Lanka
Gunawansa N, et al. · Transplantation Journal · 2012
Read publicationLymphocele after Renal Transplantation: A New Look at an Age-Old Problem
Gunawansa N, et al. · ResearchGate · 2019
Read publicationRenal Artery Aneurysms Managed by Autotransplantation: Case Reports
Gunawansa N, et al. · ResearchGate · 2018
Read publicationPost-Transplant Lymphoproliferative Disorder: A Clinical Perspective
Gunawansa N, et al. · ResearchGate · 2019
Read publicationRenal 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
Read publicationRenal transplantation: bridging the gap between development and the developing world
Gunawansa N, et al. · World Journal of Transplantation · 2022
Read publicationHemodialysis Catheter-Related Central Venous Thrombosis: Clinical Approach to Evaluation and Management
Gunawansa N · Journal of Vascular Surgery · 2019
Read publicationRenal Patient Vaccination: COVID-19 Vaccination in Renal Transplant Recipients
Gunawansa N, et al. · Oxford University Research Archive · 2021
Read publicationIntravenous Fracture of a Peripheral Cannula
Gunawansa N, et al. · Case Reports in Clinical Medicine · 2018
Read publicationSurgical site infections in renal transplant patients: A 5-year analysis of a single center experience
Gunawansa N, et al. · Clinical Surgery Group · 2020
Read publicationDeep Neural Network Hyper-Parameter Settings for Surgical Procedures Optimization
Gunawansa N, et al. · Trends in Transplantation · 2022
Read publicationTraining vascular surgeons in venous surgery and stenting: A comprehensive approach
Gunawansa N · Journal of Vascular Surgery: Venous and Lymphatic Disorders · 2023
Read publicationTotal Endovascular Approach to Aortic Aneurysm Repair: Outcomes and Recommendations
Gunawansa N, et al. · Sri Lanka Journal of Surgery · 2019
Read publicationChallenges in Vascular Access for Hemodialysis in the Developing World
Gunawansa N · Clinical Surgery Group · 2021
Read publicationRenal transplantation in diabetic nephropathy: A single center experience
Gunawansa N, et al. · Sri Lanka Journal of Surgery · 2018
Read publicationVascular access for haemodialysis: A review of modalities, outcomes and complications
Gunawansa N, et al. · Journal of Vascular Access · 2017
Read publicationVascular surgeons response to the COVID-19 pandemic: An international perspective
Gunawansa N, Schanzer A, et al. · Journal of Vascular Surgery · 2020
Read publicationImpact of COVID-19 on the kidney transplant program in a low-resource setting
Gunawansa N, et al. · MedRxiv · 2020
Read publicationKidney transplantation in patients with a history of cerebro-vascular accidents
Gunawansa N, et al. · Transplantation Proceedings · 2015
Read publicationPerioperative management of patients with renal dysfunction in vascular surgery
Gunawansa N, et al. · Anesthesia Journal · 2021
Read publicationVascular access infection in hemodialysis: Comprehensive review and management guidelines
Gunawansa N · Clinical Surgery Group · 2020
Read publicationArteriovenous Fistula Creation: Comprehensive Review of Best Practices
Gunawansa N, et al. · Scientific Research Publishing · 2019
Read publicationLiver transplantation in Sri Lanka: Current status and future directions
Gunawansa N, et al. · PubMed · 2011
Read publicationPost-transplant Venous Thrombosis: Clinical Management and Outcomes
Gunawansa N · International Journal of Vascular Surgery and Medicine · 2021
Read publicationCritical Limb Ischemia: Diagnostic and Therapeutic Challenges
Gunawansa N, et al. · World Journal of Surgical Research · 2018
Read publicationDeep Vein Thrombosis Prevention in High-Risk Surgical Patients
Gunawansa N, et al. · Japanese Journal of Vascular Surgery · 2017
Read publicationMachine Learning Applications in Predicting Vascular Surgery Outcomes
Gunawansa N, et al. · Journal of Clinical and Medical Sciences · 2022
Read publicationVaricose Veins: Current Management Guidelines Based on Global Best Practices
Gunawansa N · Trends in Transplantation · 2023
Read publicationEthical Considerations in Transplant Tourism: A Systematic Review
Gunawansa N, et al. · World Journal of Transplantation · 2022
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