Abstract

ZUDAIRE ARANA, Mª Teresa et al. Complications of the surgical wound in kidney transplants. Rev Soc Esp Enferm Nefrol [online]. 2005, vol.8, n.1, pp.23-26. ISSN 1139-1375.

We note a worsening in the evolution of the surgical wounds in the post-operative kidney transplant. The problem starts at the beginning of treatment with rapamicin combined with other immunosuppressors we already used. Objective. To evaluate whether there is correspondence with the nursing observation that the poorer evolution of the postoperative surgical wound of kidney transplants are related to the use of rapamicin as an immunosuppressor, added to the habitual risk factors. Material and method. Retrospective observational epidemiological study of cohorts. A total 56 patients transplanted in our unit were studied from 1999 to 2003. Thirty patients were selected with the usual immunosuppression tendency: corticoids, cyclosporin or tacrolimus, mofethyl micophenolate, etc. and 26 patients with a similar treatment, but associated with rapamicin. Results. The relationship between the days of exudation of the surgical wound in the postoperative period of the patients of the group treated with rapamicin is statistically significant in relation to the group that did not take it, with p = 0.016 (p< 0.05) in U by Mann Whitney. The difference between other variables studied was not significant.

Keywords : kidney transplant; immunosupressors; rapamicin; sirolimus; cicatrisation; exudate; wound.

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