Saudi Journal of Kidney Diseases and Transplantation

ORIGINAL ARTICLE
Year
: 2010  |  Volume : 21  |  Issue : 2  |  Page : 251--257

Surgical complications in pediatric and adolescent renal transplantation


Rabih El Atat1, Amine Derouiche1, Sabra Guellouz2, Tahar Gargah2, Rachid Lakhoua2, Mohamed Chebil1 
1 Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia
2 Department of Pediatric, Charles Nicolle Hospital, Tunis, Tunisia

Correspondence Address:
Rabih El Atat
Charles Nicolle Hospital, Service Urology 138 Boulevard 9 Avril, 1006 Tunis
Tunisia

To report the surgical complications among our pediatric and adolescent renal transplants and to compare these results with other reported series in the literature. A total of 50 pediatric and adolescent renal transplants were included in this study. There were 30 boys and 20 girls with a mean age of 13 years (range 6 - 18 years). 70% of patients received their kidneys from living donors. Two patients underwent renal re-transplantation. Among the 52 transplantations, 17 surgical complications were encountered in 15(30%) patients. The incidence of urological and vascular complications was respectively 13.2% and 18.9%. These complications included vesico­ureteral reflux (9.4%), urinary leakage (3.8%), lymphocele (5.8%), peri-renal hematoma (1.9%), renal artery stenosis (3.7%), and thrombosis of the allograft (7.5%). The patients with vesico­ureteral reflux were treated by antibiotic prophylaxis. In four recipients, thrombosis of the allo­graft with subsequent graft loss occurred. The graft survival rate was 90% in 1 year, 77% in 5 years and 40% in 10 years follow-up. The patient survival rate was 94.4% in 1 year and 84% after 8 years follow-up. We conclude that surgical complications can be minimized if basic principles of careful transplant techniques are used. Prompt identification and treatment of any complication are critical for graft and patient survival.


How to cite this article:
El Atat R, Derouiche A, Guellouz S, Gargah T, Lakhoua R, Chebil M. Surgical complications in pediatric and adolescent renal transplantation.Saudi J Kidney Dis Transpl 2010;21:251-257


How to cite this URL:
El Atat R, Derouiche A, Guellouz S, Gargah T, Lakhoua R, Chebil M. Surgical complications in pediatric and adolescent renal transplantation. Saudi J Kidney Dis Transpl [serial online] 2010 [cited 2020 Jul 10 ];21:251-257
Available from: http://www.sjkdt.org/article.asp?issn=1319-2442;year=2010;volume=21;issue=2;spage=251;epage=257;aulast=El;type=0