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. 2017;8(2):78-84.
Epub 2017 May 1.

Outcomes and Surgical Complications in Kidney Transplantation

F Reyna-Sepúlveda  1 , A Ponce-Escobedo  1 , A Guevara-Charles  1 , M Escobedo-Villarreal  1 , E Pérez-Rodríguez  1 , G Muñoz-Maldonado  1 , M Hernández-Guedea  1
Affiliations

Outcomes and Surgical Complications in Kidney Transplantation

F Reyna-Sepúlveda et al. Int J Organ Transplant Med. 2017.

Abstract

Background: Kidney transplantation is the most cost-effective therapy for end-stage renal disease. Post-operative complications account for 15%-17% of all cases and are associated with significant morbidity. Currently 4.8% of post-transplantation patients have returned to dialysis. Our center's main transplant origin is cadaveric donation.

Objective: To review surgical complications of kidney transplantation over the past 5 years.

Methods: This was an observational descriptive study that included all patients from 2011 to 2015.

Results: A total of 55 cases were reviewed. Diabetic nephropathy was the etiology in 30.9% of cases. Post-surgical complications occurred in 12.7% of patients with a post-operative mortality of 4%. Graft survival at 1 year was 82.4% with a 91% 1-year patient survival.

Conclusion: Early identification and treatment of surgical complications are critical for patient and graft survival. Complications are low but significant.

Keywords: Graft survival; Intraoperative complications; Kidney failure; Kidney transplantation; Morbidity; chronic.

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Figures

Figure 1
Figure 1
Infected surgical wound before (left) and after (right) vacuum-assisted closure
See this image and copyright information in PMC

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