Abstract

ABSTRACT:
BACKGROUND:
Kidney transplantation has been established as the most efficient treatment of end stage renal disease with the advantage for the patient to live a nearly healthy life.
Surgical complications are common in both the immediate postoperative period and later after kidney transplantation. But these complications when managed accordingly had no effect on the graft survival.
OBJECTIVE:
We studied the incidence and management of early surgical complications; that occurred within the first month after transplantation, in 213 kidney transplanted patients.
PATIENTS AND METHOD:
A cross sectional descriptive study including 213 patients with renal failure underwent allograft kidney transplantation from October 2003 to October 2010, in the renal transplant center, medical city teaching hospital, Baghdad. Focusing on the incidence and management of early surgical complications; that occurred within the first month after kidney transplantation.
RESULTS:
213 patients, 144(67.6%) were males, 69(32.4%) were females. The age range of the donors was 18y - 55years (mean 30.39±9.32), While the age range of the recipients was 7y – 66y (mean 31.40±11.35). 121(56.9 %) were unrelated donors, 92 (43.2%) were related donors.
The reported surgical complications were, urinary tract infection in 80(37.5%) patients, Urine leak 8(3.8%), Lymphocele 2(0.9%), Wound seroma 2(0.9%), Wound hematoma 1(0.5%), Wound infection 1(0.5%), Small bowel injury 1(0.5%), Acute pancreatitis 1 (0.5%), acute gastric erosion 1 (0.5%), Postoperative bleeding 1 (0.5%), Deep venous thromboses 3(1.4%), Intemal dissection of the renal artery with the formation of intemal flap 1 (0.5%), Arterial thromboses 1(0.5%) per-operatively, Venous thromboses 1(0.5%) per-operatively, No mortality, or graft loss happened because of these surgical complications. The one-month patient survival was 98%, and graft survival was 97%.
CONCLUSION:
Surgical complications occur in both the immediate postoperative period and later after kidney transplantation. But these complications had no effect on the graft survival, when managed accordingly.