ABSTRACT
One hundred and seven surgical procedures performed on 98 patients with stable renal allograft function are analyzed. They represent 35.5% of 276 patients who underwent renal transplants. The surgical procedures were not related to the graft or its arteries and vein. The procedures were gynecologic 8, urologic 24, thoracic 6, ophthalmologic 8, neurosurgical 2, general surgery 37, orthopedic 17 and plastic surgery 5. Thirty-five (32.7%) were emergency and 72 (67.3%) elective procedures. Twenty-six patients were operated on for infections. The overall operative mortality rate was 15.3%. It was significantly higher in emergency procedures (34.28%) than in elective surgery (4.16%).
Subject(s)
Kidney Transplantation , Kidney/physiology , Surgical Procedures, Operative , Adolescent , Adult , Aged , Argentina/epidemiology , Child , Child, Preschool , Diagnosis-Related Groups , Emergency Medical Services , Female , Humans , Male , Middle Aged , Pregnancy , Surgical Procedures, Operative/mortalityABSTRACT
In order to determine the value of the interview conducted to assess the micturitional stream of our patients, we compared in 200 cases what the patients said about their micturition against their maximum flow rate (QMx). We demonstrated that 79% of those who said they voided with a "bad stream" had QMx less than or equal to 10 ml/sec. Only 65% of those who said they voided with a "good stream" had a QMx less than or equal to 15 ml/sec. Of those with QMx less than or equal to 10 ml/sec. (73 patients), only 15% had reported a "bad stream". Thus, we believe it is not reliable and of little interest to ask our patients about the strength of their micturitional stream. It would only be useful in those who reported a "bad voiding". To our knowledge, this is the first study that documents the discrepancy between data from the interview and the maximum flow rate.
