Post-transplantation surgical complications in renal transplant recipient patients – An institution based prospective study

Chatterjee, Smaranjit; Swamy, P.M. Siddalinga; Hedau, Santosh; Mathur, Piyush; Bain, Jayanta; Raju, Kalidindi Prasad

doi:10.1016/j.ijt.2016.06.002

Cited by 2 publications

(5 citation statements)

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“…One 1% died of pseudo-tumour cerebri (known complication of steroid use) Open Journal of Nephrology after seven months. It is close to an Indian study with mortality due to intracranial complications (intracranial haemorrhage) in 0.91% [9]. Another patient died due to GE presented with intractable diarrhoea that cause gastro-enteritis, that constitute 20% of causes of death with function, a comparative study has less finding of 13% to infectious causes of death with function [17].…”

Section: Discussionsupporting

confidence: 70%

“…Close to an Indian study where wound, infection occurred in 3.3% of patients [19]. In addition, less than another study with wound infection in 4.58% [9]. And an African study where it was 8.8% Patients [18].…”

Section: Discussionmentioning

confidence: 92%

“…Renal transplantation (RT) is the best form of treatment for end-stage renal disease (ESRD), because this improves the quality of life and patient survival and is cost-effective [4]. A comparative study showed that their majority of the patients belonged to 16 -30 years age [9]. The incidence of projected life years were compared between transplantation and dialysis, a greater mortality benefit was estimated for younger transplant recipients than older recipients (17 additional years of life with transplant for patients aged 20 -39, and 11 years for patients aged 40 -59 compared with 4 years for patients older than age 60) [10].…”

Section: Discussionmentioning

confidence: 99%

“…In a regional study in Africa in which 20% had biopsy proven acute rejections, which recovered, in 2.2% of patients the graft was lost [18]. An Indian study assigned to that introduction of modern immunosuppressant protocol, the incidence of acute graft rejection has come down to less than 1% [9].…”

Section: Discussionmentioning

confidence: 99%

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Outcome of Renal Transplantation at Ahmed Gasim Cardiac and Renal Transplant Centre in Sudan-2014

Mohmmed¹,

Abdalla²,

Modawey³

2023

OJNeph

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Background: Although not life-saving procedures like liver or heart transplantation, renal transplantation is the preferred treatment for many patients with end-stage renal disease because it improves patients' quality of life, while other forms of renal replacement therapy (RRT) such as haemodialysis (HDX) shown to regain only 10% of the patient's renal function [1]. Transplantation releases patients from the dietary and fluid restrictions and the physical constraints imposed by other forms of (RRT), patients become able to return to their normal activities. Patient's 5-year survival is higher post transplant. Patients and methods: This is Descriptive, retro-prospective, cross sectional analytic and multicentre study done in Ahmed Gasim Cardiac and Renal Transplant Centre including 105 patients. After meeting the Inclusion Criteria and exclusion Criteria, then cases were selected and written in constructed questionnaire. The aim of the study was to evaluate the outcome of renal transplantation in Sudan. Results: 105 cases were used with male predominate and ratio male to female ratio 3:1, the main age of presentation between 31 -45 years, most of the patients discharge uneventful with good outcome. During one-year follow-up following renal transplantation. Patient survival 95.2 % graft survival 82.4%. Overall morbidity shows 70.5%. Conclusion: this study showed that the one-year patient survival of 95.2%. Actuarial one-year graft survival of 92.4%. Renal transplantation complications can be reduced by meticulous preoperative workup including good cardiovascular assessment, tissue mismatch and BMI good postoperative follow up for early detection of graft rejection and long-term complications and finally patient education.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Outcome of Renal Transplantation at Ahmed Gasim Cardiac and Renal Transplant Centre in Sudan-2014

Mohmmed¹,

Abdalla²,

Modawey³

2023

OJNeph

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“…The one who nurses the transplant patient plays a substantial role in diagnosis of acute transplant complications that often occur within the rst 24 hours after transplantation. The nurse is able to diagnose complications such as renal dysfunction, appearing in the form of decreased urinary output and increased serum creatinine, both with the aid of the obtained knowledge and through urgent intervention (3,4). Increase of IAP is one of the complications of major abdominal surgery, to which kidney transplant patients are exposed to due to the nature of surgery and its method.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Diagnostic Accuracy of Intra-Abdominal Pressure Measurement Method Through Bladder in Predicting Renal Dysfunction After Kidney Transplantation

Aghebati

Torkamani

heydarianmiri

et al. 2021

Preprint

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Background The patients undergoing kidney transplantation are at risk of increasing Intra-Abdominal Pressure (IAP) due to the abdominal surgery. Methods This diagnostic accuracy study was conducted on 135 patients, who had undergone kidney transplantation from alive and brain death patients in two hospitals of Iran and Afghanistan, in 2019. The patients' intra-abdominal pressure was measured every 6 hours up to 24 hours after surgery by nurses. The indices of renal dysfunction were utilized, including creatinine level, urine volume, need dialysis and thymoglobulin after transplantation and nephrectomy in 6 months. The sensitivity as well as positive and negative predictive value of the IAP test was counted based on these indices. Doppler ultrasound of the transplanted kidney was used as a gold standard diagnostic test. Data analysis was done by using STATA 14. Results According to the results 10 (7.4%) people of 135 patients were observed with IAP > 10mmhg. Nobody revealed IAP > 15. Seven (5.2%) patients had Urinary loss and 20(15%) didn't show creatinine decrease more than 25% of baseline. Twelve (9 %) of them need dialysis and thymoglobulin, and had positive Doppler ultrasound. Finally 3 (2.2%) patients were undergone nephrectomy during 6 months. All of these indices indicated a significant (p < 0.05) correlation with IAP mean difference (4 − 1). A comparison between the diagnostic power of IAP measurement method and Doppler ultrasound indicated 90% of sensitivity and 94% of negative predictive value in predicting the renal dysfunction. Conclusion Results of the present study revealed that the IAP measurement through bladder catheter can be used by the ICU nurses before Doppler ultrasound in kidney transplantation but we need more data to recommend this test.

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Post-transplantation surgical complications in renal transplant recipient patients – An institution based prospective study

Cited by 2 publications

References 5 publications

Outcome of Renal Transplantation at Ahmed Gasim Cardiac and Renal Transplant Centre in Sudan-2014

Outcome of Renal Transplantation at Ahmed Gasim Cardiac and Renal Transplant Centre in Sudan-2014

Evaluation of the Diagnostic Accuracy of Intra-Abdominal Pressure Measurement Method Through Bladder in Predicting Renal Dysfunction After Kidney Transplantation

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