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Year : 1996  |  Volume : 12  |  Issue : 2  |  Page : 60-64

Surgical complications of renal transplantation : prevention and management.

Department of Urology, Sanjay Gundhi Post Graduate Institute of Medical Sciences, Lucknow

Correspondence Address:
R Ramanathan
Department of Urology, Sanjay Gundhi Post Graduate Institute of Medical Sciences, Lucknow

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Source of Support: None, Conflict of Interest: None

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Improved postoperative care has reduced the morbidity and mortality associated with surgical complications following renal transplantation. Yet complications involving almost every organ system occur. In an immunocompromised patient these complications can be devastating if detected late. We reviewed the first 200 consecutive renal transplants done at our center with an aim to study the incidence and management of surgical complications. 22 of total 44 complications could be managed conservatively without surgical intervention. Grafterlated complications (perigraft collection -16, graft rupture-5) were the comonest (10 percent). Graft rupture was the most lethal complication leading to death in I and graft loss in 4 patients. Gastrointestinal complications were seen in 8 (4 percent) patients. Acid peptic disease related complications could be reduced with routine perioperative use of H-2 receptor blockers. Expectant surveillance, early diagnosis and prompt treatment can reduce the mortality and morbidity related to these complications.

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