Salinas GM, Portilla FVH, González GAF, Flores GJP, Benítez CER, Paz SP, Bazán BAF

Language: Spanish
References: 22
Page: 53-58
PDF size: 60.71 Kb.

ABSTRACT

Introduction. The renal transplantation surgical complications represents an important source of morbidity and mortality, being able to arrive in occasions to the loss of the graft or the exitus. The rate of surgical complications oscillated in the first published series, between a 3.5 and 30% in the seventies. In more recent series, this rate oscillates around 15%. Objective. To know the surgical diseases and their surgical resolution, as well as the impact in the morbidity and mortality in those patients that have been trasplanted of kidney in our institution. Material and methods. This is a retrospective, prospective, longitudinal, descriptive and biomedical study. The files of the patients were revised from 1991, to our date. We included those patients that were trasplanted of kidney, even live donor source and of cadaveric source, and that they were also subjected to some type of later surgical procedure to the renal transplant. Results. The extraction of the soft catheter Tenckhoff corresponded 21 cases (38.88%), followed by 6 cases of postincisional hernia (11.11%), 4 cases of cholecystitis (7.40%), 3 cases of abscesses around the graft (5.5%), 3 lymphoceles (5.5%), 2 infected hydroceles (3.70%), 2 cases of appendicitis (3.70%), 2 cases of urinary fistulae (3.70%), 2 abdominal catastrophes due to peritoneal and intestinal TB (3.70%), 1 patient with uretral stenosis (1.85%), 1 case of arterial thrombosis (1.85%), 1 case of vesico-ureteral reflux (1.85%), 1 patient with arterial inssufficiency of the left leg (1.85%), 1 case of tiroglosus infected cyst (1.85%), 1 patient with double J catheter retained and calcified (1.85%), 1 patient with Piosalpinx and Piometrium (1.85%), 1 patient with development of CID and massive hemorrhage (1.85%) and 1 case of secondary hidronphfrosis due to ureteral estenosis (1.85%). Discussion. Many medical groups of renal transplantation have reported complications related to the surgery of the transplant, as well as other surgical pathologies and the form of their resolution; we can mention that the most important complications are urological, vascular, gastrointestinal and those related to the surgical technique mainly. We find that the patients who were practiced an emergency surgery, had a higher morbility and higher mortality because the surgical pathology was associated to sepsis. The type of surgical resolution is debatable due to the variety of used techniques, as well as the availability of resources, the hospital infrastructure, materials, equipment and the medical personnel’s training and of infirmary.

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