Surgical Complications after Kidney Transplantation

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