The aim of our study was to compare the surgical complications and short-term outcome of renal transplants with single and multiple renal artery grafts. We reviewed the records of 105 kidney transplantations performed consecutively at our institution from July 2006 to May 2010. The data of 33 (31.4%) renal transplants with multiple arteries were compared with the 72 transplants with single artery (68.6%), and the incidence of surgical complications, post-transplant hypertension, acute tubular necrosis, acute graft rejection, mean creatinine level, and patient and graft survival was analyzed. We further subdivided the study recipients into three groups: group A (n = 72) with one-renal-artery allografts and one-artery anastomosis, group B (n = 6) with multiple-artery allografts with single-artery anastomosis, and group C (n = 27) with multiple-artery allografts with multiple arterial anasatomosis, and compared their outcome. No significant differences were observed among the recipients of all the three groups regarding early vascular and urological complications, post-transplant hypertension, acute tubular necrosis, acute rejection, creatinine level, and graft and patient survival. The mean cold ischemia time in groups B and C was significantly higher (P <0.05). One patient in group A developed renal vein thrombosis resulting in graft nephrectomy. None of the patients with multiple renal arteries developed either vascular or urological complications. In conclusion, kidney transplantation using grafts with multiple renal arteries is equally safe as using grafts with single renal artery, regarding vascular, urological complications, as well as patient and graft survival.

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 transplantation in our population. Materials and Methods:We retrospectively reviewed the surgical complications in 350 patients who had live related renal transplantation performed at Postgraduate Medical Institute, Shaikh

Biochemical parameters are greatly influenced by genetic, physiological and environmental factors. Regional data is essential to establish a relationship between End stage renal disease (ESRD) and biochemical parameters. In Bangladesh, there is not any established research data on biochemical parameters of ESRD patient. The present study was a case control study with 500 ESRD patients and equal number of healthy volunteers (controls). Sociodemographic, anthropometric and clinical data of both patients and controls were collected. Serum biochemical parameters were analyzed by laboratory test. Statistical software package SPSS were used for independent sample t-test and Pearson's correlation test. Our study found that serum creatinine, blood urea nitrogen (BUN) and serum uric acid were significantly higher (p<0.05) and serum potassium were significantly lower in ESRD patient as compared to control subjects (p<0.05). But serum chloride, serum sodium and serum calcium level were in the normal range. Pearson correlation analysis reveals that serum creatinine and serum chloride was inversely correlated with GFR (glomerular filtration rate) in both patient and control groups. This study explored that ESRD patients have higher level of serum creatinine, BUN and serum uric acid but lower level of serum potassium than normal patient. Routine investigation of serum biochemical parameters may help to prevent ESRD complication.