PMID: 2485567Jan 1, 1989Paper

Reoperation after kidney transplantation

Acta chirurgica Iugoslavica
A SepićJ Zec

Abstract

On Surgical Clinic KBC and Medical faculty at Rijeka in the period from 30.01.1971 to 30.03.1988 403 kidney transplantations were performed. There were 257 (63.8%) transplant from living related donor, 2 (0.5%) from living nonrelated donor and 144 (35.7%) from cadaver. On 90 patients 104 reinterventions were performed. There were 29 reinterventions in 24 patients because of vascular complications. 14 patients lost their graft, and two patients died because of sepsis and liver failure. Among 140 patients with uretero-ureteral anastomoses 18 reinterventions were performed in 16 patients, patients lost the graft. In the group of 271 patients with ureterocystoneostomia there were 18 reinterventions in 17 patients. One patient died because of pulmonary emboli on the first postoperative day. Wound infections were surgically treated 39 times in 33 patients. 3 grafts were lost because of acute rupture, and one patient died in haemorrhagic shock. The complications after kidney transplantation should be recognized as soon as possible and if it is necessary to start surgical reintervention immediately.

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