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| Year : 1994 | Volume
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| Issue : 2 | Page : 203 |
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| Renal Transplantation in Ghaem Hospital Medical School |
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Ali Shamsa, Ahmad Saghebi
Ghaem Hospital Medical School, Mashhad University of Medical Sciences, Mashhad, Iran
Click here for correspondence address and email
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How to cite this article:
Shamsa A, Saghebi A. Renal Transplantation in Ghaem Hospital Medical School. Saudi J Kidney Dis Transpl 1994;5:203 |
Ghaem Hospital Medical School has been performing renal transplantation since 1989. In this communication, we would like to present a brief summary of our activities. During the period from November 1989 till end of October 1993, a total of 108 live donor renal transplants have been carried out in Ghaem Hospital Medical School of Mashhad University of Medical Sciences, Mashhad, Iran.
The age range of the recipients was from 13-56 years. Twenty one kidneys were obtained from live related donors and the remaining 87 were from live unrelated donors.
In 98 cases, the surgery was done using lumbar approach. The grafting was done on internal iliac artery except in four cases where the anastomosis was done to external iliac artery. The time taken for anastomosis ranged between 32-48 minutes.
Immediate diuresis occurred in 99 cases and in nine it occurred between three days to six weeks.
Ureters were implanted using LichGregoir method in 100 cases. Of the remaining eight cases, six cases were implanted by Politano Leadbutter method and two cases using Gil-Vernet method.
The complications seen were as follows. There were two cases of stone formation in the double "J" catheter and two cases had large lymphocele. Ureteral fistula was seen in three cases and bladder fistula in one. One case had ureteric stenosis. There was one case of arterial stenosis. All complications were surgically corrected successfully.
During this period, eleven cases died due to various causes such as car accident, myocardial infarction, respiratory infection and osteomyelitis of spine. All had functioning grafts at the time of death. Five cases developed rejection and had to be returned to dialysis.
Correspondence Address:
Ali Shamsa
Professor of Urology, Ghaem Hospital Medical School, Mashhad University of Medical Sciences, Mashhad
Iran
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PMID: 18583834 
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