Surgical Complications of Renal Transplantation; Single Centre Single Surgeon Experience Over 4 Years
Abstract
Background: The incidence of end stage renal disease has been increasing steadily over years. The change in life style, the epidemic proportion of diabetes mellitus and increasing cost of access to health care have all contributed to this. Renal transplantation has been the best treatment option in this situation. Historically the first renal transplantation in Kerala was performed in 1986 in Medical College Calicut under the leadership of Dr Roy Chally and Dr Thomas Mathew. Since then several centres have taken up performing this procedure in the state. Many more new centres are needed to bridge the gap between the needy and the actual numbers performed. Several factors are involved in the successful outcomes after renal transplantation. Prompt recognition of postoperative problems, excellent intensive care management of the recipient in the preoperative, intraoperative and postoperative settings and access to correct Immunosuppression regimes impact surgical outcomes.
Aim: The purpose of this study was to analyse and present our single-centre single surgeon experience concerning surgical complications among a series of 78 renal transplantations.
Methods: The study was a retrospective descriptive analysis in a series of 78 successive renal transplantations performed by a single surgeon in a single centre at the Department of Urology Medical College Trivandrum from January 2010 to August 2014 and analysing the surgical complications occurring in the followup period.
Results: Surgical complications occurred in 20 patients (25.64%). Both vascular (7.69%) and urologic (8.97%) complications occurred in equal incidence followed by lymphoceles (5.12%), wound related problems (3.84%) and other complications.
Conclusion: The study showed that the incidence of surgical complications among the 78 renal transplantations analysed were within the range seen in other series.
When publishing with Kerala Medicial Journal (KMJ), authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. Work includes the material submitted for publication and any other related material submitted to KMJ. In the event that KMJ does not publish said work, the author(s) will be so notified and all rights assigned hereunder will revert to the author(s).
The assignment of rights to KMJ includes but is not expressly limited to rights to edit, publish, reproduce, distribute copies, include in indexes or search databases in print, electronic, or other media, whether or not in use at the time of execution of this agreement.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
The author(s) hereby represents and warrants that they are sole author(s) of the work, that all authors have participated in and agree with the content and conclusions of the work, that the work is original, and does not infringe upon any copyright, propriety, or personal right of any third party, and that no part of it nor any work based on substantially similar data has been submitted to another publication.
