Post-transplantation surgical complications in renal transplant recipient patients - An institution based prospective study

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• 作者：Smaranjit Chatterjee^a ; ^{drsmaranjit@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; P.M. Siddalinga Swamy^b ; Santosh Hedau^c ; Piyush Mathur^c ; Jayanta Bain^d ; ^{jbain212@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Kalidindi Prasad Raju^b
• 关键词：Arterial thrombosis ; Renal transplant ; Wound infections
• 刊名：Indian Journal of Transplantation
• 出版年：2016
• 出版时间：July-September 2016
• 年：2016
• 卷：10
• 期：3
• 页码：65-69
• 全文大小：1060 K

文摘

Kidney transplant remains one of the pioneer branches of solid organ transplant worldwide. With refinement of surgical techniques, especially vascular anastomosis principles, the incidence of surgical complications remains low. Also with introduction of modern immunosuppressant protocol, the incidence of acute graft rejection has come down to less than 1%. But, surgical complications still remain one of the most important post-transplant complications in both early and late periods.

Methods

This is a prospective, observational study comprising both live related and deceased donor transplant cases from January 2011 to December 2012 in Department of Kidney Transplantation, Care Hospitals, Hyderabad. Donor characteristics, including number of renal arteries, were noted. Post-renal transplant surgical complications, including arterial, venous, ureteric, lymphocele, and wound infections, were studied.

Results

We observed arterial stenosis in 3 (3.66%) patients, arterial thrombosis in 1 (0.91%) patient, venous thrombosis in 1 (0.91%) patient, 4 (3.66%) ureteric complications, 5 (4.58%) wound infections, and intracranial hemorrhage in 1 (0.91%) patient.

Conclusions

Surgical complication rates were relatively low in our study. Early diagnosis and effective management of surgical complications were associated with both better graft and patient survival after one year of follow-up in this study.