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[Reoperation after kidney transplantation]
Acta Chirurgica Iugoslavica
|January 1, 1989
Summary
This study analyzed 403 kidney transplantations, detailing reintervention rates and causes. Early recognition and surgical intervention for complications are crucial for successful kidney transplant outcomes.
Area of Science:
- Nephrology
- Transplant Surgery
- Urology
Context:
- The study was conducted at Surgical Clinic KBC and Medical Faculty at Rijeka.
- Data spans from January 30, 1971, to March 30, 1988.
- A total of 403 kidney transplantations were performed during this period.
Purpose:
- To analyze the outcomes of kidney transplantations.
- To identify the types and frequency of complications following kidney transplantation.
- To evaluate the necessity and impact of reinterventions for managing complications.
Summary:
- Out of 403 kidney transplantations, 257 were from living related donors, 2 from living non-related donors, and 144 from cadaveric donors.
- 104 reinterventions were performed on 90 patients, with vascular complications (29 reinterventions in 24 patients) being a significant concern.
- Other complications included ureteral anastomotic issues (18 reinterventions in 16 patients for uretero-ureteral, 18 reinterventions in 17 patients for ureterocystoneostomia), wound infections (39 surgical treatments in 33 patients), and graft rupture (3 cases).
- Mortality occurred due to sepsis, liver failure, pulmonary emboli, and hemorrhagic shock.
Impact:
- Highlights the importance of prompt identification and surgical management of post-transplant complications.
- Provides insights into complication rates associated with different donor types and ureteral reconstruction techniques.
- Emphasizes the critical role of timely surgical reintervention in improving kidney transplant graft survival and patient outcomes.