Surgical Complications of Live Related Renal Transplantation

Abstract

Abstract

Introduction:  Renal transplantation is the treatment of choice for patients with end stage renal disease. It offers marked improvement in the quality of life of patients who undergo this form of treatment. Surgical complications are important in the sense that they can lead to loss of allograft and in severe cases loss of patient life. The aim of this study is to determine the frequency of surgical complications after renal trans-plantation in our population.

Materials and Methods:  We retrospectively reviewed the surgical complications in 350 patients who had live related renal transplantation performed at Postgraduate Medical Institute, Shaikh Zayed hospital Lahore from January 2007 to December 2013.

Results:  Among 57 (16.1%) surgical complications 18 (5.1%) had urological complications. Urinary fistulae, ureteral stenosis, ureteral stricture and hematuria occurred in 9 (2.5%), 4 (1.14%), 4 (1.14%) and 1 (0.28%) patients respectively. Vascular complications occurred in 5 (1.42%) patients in total. 2 (0.57%) patients had renal artery thrombosis and 1 (0.28%) patient had renal vein thrombosis. 2 (0.57%) patients had thrombosis of external iliac artery. Lymphocele occur-red in17 (4.8%) of patients and wound infection developed in 19 (5.4%) patients.

Conclusion:  Surgical complications after kidney transplantation may be reduced or minimized if basic surgical principles of transplantation are followed. We conclude that kidney transplantation is a safe procedure with fewer surgical complications. The most important thing is the early diagnosis and prompt treatment of the complications in order to save the graft and the patient.

Keywords:  Transplantation, Complications, Live related.