Resumen

PEREZ FENTES, D.A. et al. Surgical complications after kidney trasplantation: Research based on 185 cases. Actas Urol Esp [online]. 2005, vol.29, n.6, pp.578-586. ISSN 0210-4806.

Objective: To analyze the incidence of surgical complications its diagnosis and treatment after renal transplantation. Methods: A retrospective study measuring the incidence of surgical complications and reviewing its diagnosis and treatment in 185 renal single transplants. Results: 185 transplants, 27% had surgical complications. Only one patient lost the graft due to surgical complications and there was no associated mortality. Cold ischemia time 20 hours. Double J stenting in 19%, under surgeon’s opinion. Vascular complications 3,2% (all of them renal artery stenosis). Urological complications 6,4%. Perinephric haematoma 7%. Lymphocele 4,9%. Peritoneum related complications 4%. Other 4%. The diagnosis was clinical and radiological in most of cases. 14% needed any kind of intervention. Conclusions: Our results are similar to those reported in other recent series. Only one surgical team involved and the same technique for vascular and vesico-ureteric anastomosis probably makes lower our complications rate. Early postoperative abdominal ultrasonography contributes to the diagnosis of surgical complications. The initial treatment approach is the endoscopic-conservative one, with exceptions.

Palabras clave : Renal transplantation; Surgical complications; Diagnosis; Treatment.

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