Hafiz Shahzad Ashraf, Muhammad Seerwan, Sir Ibrahim M Nasir, Nadir Hussain, Rana Atta-ur rehman.
Surgical Complications of Live Related Renal Transplantation.
Ann King Edward Med Uni Jan ;22(1):3-7.

Introduction: Renal transplantation is the treatment of choice for patients with end stage renal disease. It offers marked improvement in the quality of life of patients who undergo this form of treatment. Surgical complications are important in the sense that they can lead to loss of allograft and in severe cases loss of patient life. The aim of this study is to determine the frequency of surgical complications after renal trans- plantation in our population. Materials and Methods: We retrospectively revie- wed the surgical complications in 350 patients who had live related renal transplantation performed at Postgraduate Medical Institute, Shaikh Zayed hospital Lahore from January 2007 to December 2013. Results: Among 57 (16.1%) surgical complications 18 (5.1%) had urological complications. Urinary fistu- lae, ureteral stenosis, ureteral stricture and hematuria occurred in 9 (2.5%), 4 (1.14%), 4 (1.14%) and 1 (0.28%) patients respectively. Vascular complications occurred in 5 (1.42%) patients in total. 2 (0.57%) pati- ents had renal artery thrombosis and 1 (0.28%) patient had renal vein thrombosis. 2 (0.57%) patients had thrombosis of external iliac artery. Lymphocele occur- red in17 (4.8%) of patients and wound infection deve- loped in 19 (5.4%) patients. Conclusion: Surgical complications after kidney tran- splantation may be reduced or minimized if basic sur- gical principles of transplantation are followed. We conclude that kidney transplantation is a safe proce- dure with fewer surgical complications. The most imp- ortant thing is the early diagnosis and prompt treat- ment of the complications in order to save the graft and the patient.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com