Publication
Surgical complications in 2000 renal transplants
| dc.contributor.author | Eufrásio, P | |
| dc.contributor.author | Parada, B | |
| dc.contributor.author | Moreira, P | |
| dc.contributor.author | Nunes, P | |
| dc.contributor.author | Bollini, S | |
| dc.contributor.author | Figueiredo, A | |
| dc.contributor.author | Mota, A | |
| dc.date.accessioned | 2011-05-11T09:51:02Z | |
| dc.date.available | 2011-05-11T09:51:02Z | |
| dc.date.issued | 2011 | |
| dc.description.abstract | INTRODUCTION: Renal transplantation is the best treatment for end-stage renal disease. In the last years, we have seen improvements in immunosuppressive treatment, which have allowed patients to experience a better quality of life and graft survival. Nevertheless, surgical complications remain important problems that increase morbidity, mortality, costs, and hospitalization. Our purpose was to evaluate surgical complications among a large series of 2000 renal transplantations. PATIENTS AND METHODS: We retrospectively analyzed all surgical complications among 2000 renal transplants performed between June 1980 and March 2010 in our department. RESULTS: Among 318 (15.9%) surgical complications, 4.8% of patients had urologic problems. Ureteral stenosis and fistula, stent obstruction, and ureteral necrosis occurred in 2.7%, 1.8%, 0.1%, and 0.2% of patients, respectively. Vascular complications reported in 2.7% of patients included arterial or venous thrombosis (1.0% or 0.4%), both arterial and venous thrombosis (0.1%), renal infarction (0.1%), renal artery aneurysm (0.1%) as well as arterial stenosis (0.5%), kinking (0.4%), or dissection (0.1%). Other complications, not specifically related with transplantation surgery, occurred in 4.4% of patients. CONCLUSION: Renal transplantation is a safe surgery by experienced teams. Our rates of surgical complications were within those reported by other series. A meticulous surgical technique is mandatory to prevent them. Prompt diagnosis and management are required to prevent graft damage and patient morbidity. | por |
| dc.identifier.citation | Transplant Proc. 2011 Jan-Feb;43(1):142-4. | por |
| dc.identifier.uri | http://hdl.handle.net/10400.4/1007 | |
| dc.language.iso | eng | por |
| dc.peerreviewed | yes | por |
| dc.publisher | Elsevier | por |
| dc.subject | Transplantação de Rim | por |
| dc.subject | Complicações Pós-operatórias | por |
| dc.title | Surgical complications in 2000 renal transplants | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |