Surgical complications in live related kidney transplant patients at the royal medical services: review of the last three years

To determine the surgical complications in live related kidney transplant patients at the Royal Medical Services. Over the period of three years from January 2008 through December 2010, all patients who underwent living related kidney transplant at Prince Hussein Bin Abdullah Urology Center at the Royal Medical Services were included in the study with a minimum follow up of 6 months for surgical complications. A total of 188 patients were included in the study. 11 patients were children and 63 were females. The frequency of surgical complications is 20.7%. General surgical complications were 4.25% that included deep vein thrombosis [1.06%], wound infection [1.06%], urinary tract infections [1.59%] and myocardial infarction [0.53%]. The frequency of vascular complications was 12.2% including two cases of renal artery stenosis [1.06%], others included lymphocele [8.5%], hematomas [1.59%] and two cases of reopening for bleeding [1.06%]. Urological complications frequency was 4.3%, three [1.59%] urethral strictures, three [1.59%] with lower ureteral stenosis and two [1.06%] with prolonged urine leak. Kidney transplant is a viable treatment option for renal failure. Our results were compatible with the international figures. Prompt and early identification of the complication allows quick and proper management

Chondritis and auricular burn

Auricular burn is a common injury encountered in the burn patients. It has devastating complications including chondritis, hypertrophic scars and hyperpigmentation, the worse of which is chondritis inevitably leading to deformity. The study shows our experience in prevention, early detection and proper management of auricular burn and chondritis. A retrospective descriptive study. This study was conducted at the Royal Rehabilitation Centre, King Hussain Medical Centre, Jordon from January 2000 to December 2005. All the patients admitted to the burn unit at the Royal Rehabilitation Center at King Hussein Medical Center from January 2000 through December 2005 with burn involving the ear were included in the study. The ears were managed locally with topical antibiotics and light pressure dressing. Early detection of chondritis was undertaken and early management with surgical intervention and proper dressing was applied. A total of 62 patients [11.5%] out of 537 had ear burn, 71% were due to direct flame burn. Chondritis developed in 10.8% of patients with deep superficial and full thickness direct flame burned ears. Twelve and half percent of ears were lost, 25% had mild deformity, and 62.5% of ears developed moderate deformity. Hyperpigmentation occurred in 21.6% of ears and 9.5% developed hypertrophic scars. Chondritis is a devastating complication after auricle burn. The incidence of chondritis can be decreased by proper care of the burned ear and avoidance of infection. Early detection and proper management of this condition can decrease the severity of deformity as sequelae of chondritis

Laparoscopic evaluation of non-palpable undescended testis

To evaluate the laparoscopic technique as a diagnostic and therapeutic tool in the management of patients with impalpable testis. During the period from January 2002 to September 2003, sixteen patients with mean age of years underwent laparoscopic to evaluate impalpable testis. Special attention was paid to the value of laparoscope in the diagnosis of these testis, in regards to their presence or absence, quality of the testis and the state of the spermatic vessels and character of the vas deferens. The laparoscope was also used in management after diagnosis. Laparoscopic orchidectomy was performed. Sixteen patients underwent laparoscopy to localize 19 impalpable testis, 13 patients had unilateral disease, while 3 patients had bilateral disease. Six testis were congenitally absent while 13 were atrophic. None were salvageable. All were removed laparoscopically. Histopathological report of the removed testis revealed atrophic testis in all cases. There was no perioperative or postoperative reported complication in all of our 16 patients. Laparoscopy is safe, minimally invasive procedure with low morbidity. It enable precise diagnosis and management of impalpable testis