ABSTRACT
Recent years have witnessed an explosive growth in the number of patients experiencing end stage renal disease [ESRD], as well as number of centers providing therapeutic modalities such as hemodialysis, peritoneal dialysis and renal transplantation. Algorithm: 1. To audit the practice of renal transplantation in Gezira hospital for renal disease and surgery [GHRDS]. 2. To recommend and contribute in some aspects that may reduce surgical complications and transplant-related deaths, and improve the outcome. 3. To assess the impact of preoperative co-morbid medical conditions of the recipient on the frequency of surgical complications of renal transplantation in GHRDS Patients and Methods: This is non-interventional descriptive retrospective review was made of all patients transplanted in the period June 2001-June 2008 in GHRDS. A total of 82 renal transplants were performed at GHRDS in our study period, all were adults and they are representing our study population group. Data was analyzed by computer program the SPSS. To determine the statistical significance of differences, the Pearson test was used and probability test [P. value] with p < 0.05 considered as significant. The incidence of surgical complications was correlated with several pretransplant, technical and post-transplant risk factors. Among the 82 patients underwent living donor renal transplantation in the GHRDS in the period 2001-2008 some surgical complications were occurred. These complications included hemorrhage in 9 patients, hematoma necessitating surgical exploration in 5 patients, urinary leakage in 7 patients, ureteric obstruction with clots in 3 patients, significant hematuria in 5 patients, wound dehiscence in 4 patients. The incidence of urological complications [ureteric obstruction and urinary leakage] was 8.1% and vascular complications 4.9%. There were 3 gastrointestinal complications [3.4%]. We lost 10 grafts [12.2%] and 9 recipients [10.9%]. The practice of renal transplant in GHRDS was found to be sound and comparable to the learning curve of the literature. The numbers of patients transplanted not yet paralleling the increasing numbers of patients with ESRD