ABSTRACT
Background: Incidence and severity of surgical complications after kidney transplantation have decreased significantlyThe aim of our work is to evaluate the prevalence of these complications and their impact on graft survival.Methods: This is a retrospective study over a period of 16 years (June 1998 - June 2013) about 40 patients transplanted who presented 55 surgical complications.Results: The mean age of our patients was 35.3 +/- 11.2 years with a sex ratio of 1.4. Initial nephropathy is unknown in 67.5% of cases. Urological complications are found in 19 cases (vesico ureteral reflux in 3 cases; ureteral stenosis in 2 cases and lymphocoele in 14 cases). Vascular complications are found in 36 renal transplants: vascular thrombosis in 3 cases; stenosis of the artery graft in 25 cases; rupture of the graft in two patients and graft hematoma in 6 patients. Mean creatinine was 14.5 +/- 5.3 mg / l in patients with vascular complication and 14.6 +/- 3.5 mg / l in patients with urological complications. Conclusion: Surgical complications remain an important risk factor that can influence the final outcome of the transplantation. Rapid diagnosis and management determine the prognosis
Subject(s)
Kidney Transplantation , Kidney Transplantation/adverse effects , Postoperative ComplicationsABSTRACT
La variete de corps etrangers introduits dans l'appareil genito- urinaire defie l'imagination et peut confronter l'urologue aux difficultes de leur extraction. Si leur presence releve souvent d'une pratique douteuse d'origine psychiatrique; il faut noter la possibilite d'une migration a partir des espaces perivesicaux lors d'une chirurgie de voisinage ainsi qu'une introduction accidentelle durant une intervention transvesicale. Les symptomes du bas appareil urinaire; non specifiques; sont les circonstances fortuites de decouverte de corps etrangers intravesicaux. Bien que le pronostic vital ne soit pas engage; l'extraction chirurgicale ou endoscopique s'avere necessaire du fait de l'inflammation severe associee aux dommages vesicaux secondaires a ce corps etranger.Nous rapportons le cas d'un jeune patient admis aux urgences chez qui on trouve une broche d'osteosynthese compliquee d'une lithiase situee dans la vessie