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ISSN 2007-6800 (Print)

2017, Number 3

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Rev Mex Traspl 2017; 6 (3)

Outcomes and surgical complications in kidney transplantation

Reyna-Sepúlveda F, Ponce-Escobedo A, Guevara-Charles A, Escobedo-Villarreal M, Pérez-Rodríguez E, Muñoz-Maldonado G, Hernández-Guedea M

Language: English
References: 28
Page: 85-90
PDF size: 247.95 Kb.


ABSTRACT

Background: Kidney transplantation is the most cost-effective therapy for end-stage renal disease. Postoperative complications account for 15 to 17% of all cases and are associated with significant morbidity. Currently 4.8% of post-transplant patients have returned to dialysis. Our center’s main transplant origin is from deceased donor. Objective: To review surgical complications of kidney transplant over the past five years. Material and methods: This was a retrospective, observational, descriptive study that included all patients from 2011 to 2015. Results: A total of 55 cases were reviewed. Diabetic nephropathy was the etiology in 30.9%. Postsurgical complications occurred in 12.7% of patients with a postoperative mortality of 4%. Graft survival at one year was 82.4% with a 91% one-year patient survival. Discussion: Surgical complications in kidney transplantation are usually associated with reoperation and can significantly affect graft survival. To minimize the morbidity and mortality, diagnosis should be established promptly in order to provide appropriate treatment. Surgical complications can be minimized with standardization of the transplantation technique and organs must be used in their best condition. Conclusion: Early identification and treatment of these complications is critical for patient and graft survival. Complications are low but significant.


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