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[Postoperative complications following kidney transplantation]
Z Popov1, N Ivanovski, L Lekovski
1Centre hospitalier universitaire Skopje, clinique d'urologie, centre de transplantation rénale, Skopje, République de Macédoine.
Annales D'Urologie
|January 6, 2001
Summary
Surgical complications occurred in 10% of kidney transplant patients, including urinary fistulas and graft ruptures. Modern surgical techniques were used for treatment, with overall complication rates considered acceptable for this pioneering Balkan region study.
Area of Science:
- Nephrology
- Surgical Oncology
- Transplant Surgery
Background:
- Surgical complications significantly impact kidney transplant outcomes.
- Despite advancements, managing these complications remains crucial.
Purpose of the Study:
- To analyze the types and incidence of surgical complications after kidney transplantation.
- To evaluate the effectiveness of modern surgical interventions for these complications.
Main Methods:
- Retrospective analysis of 92 kidney transplantations.
- Utilized diagnostic imaging (ultrasonography, CT, angiography) for complication detection.
- Employed diverse surgical techniques for managing specific complications.
Main Results:
- Observed complications included urinary fistulas (10%), lymphoceles (8%), and graft ruptures (5%).
- Renal artery stenosis (4%) and thrombosis (1%) were also noted.
- Graft rejection occurred in 4% of cases, with one death from septic peritonitis.
Conclusions:
- The study reports an acceptable rate of surgical complications in a pioneering Balkan region effort.
- Modern surgical management strategies were effective in addressing post-transplant complications.