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[Renal transplantation: surgery in the patient with a functioning kidney]
H Fernández1, A Rovegno, R Desmery
1Departamento de Cirugía del Centro de Educación Médica e Investigaciones Clínicas (CEMIC), Buenos Aires, Argentina.
Abstract:
One hundred and seven surgical procedures performed on 98 patients with stable renal allograft function are analyzed. They represent 35.5% of 276 patients who underwent renal transplants. The surgical procedures were not related to the graft or its arteries and vein. The procedures were gynecologic 8, urologic 24, thoracic 6, ophthalmologic 8, neurosurgical 2, general surgery 37, orthopedic 17 and plastic surgery 5. Thirty-five (32.7%) were emergency and 72 (67.3%) elective procedures. Twenty-six patients were operated on for infections. The overall operative mortality rate was 15.3%. It was significantly higher in emergency procedures (34.28%) than in elective surgery (4.16%).