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| ORIGINAL ARTICLE |
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| Year : 2010 |
Volume
: 21 | Issue : 2 | Page
: 251-257 |
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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
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PMID: 20228509 
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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. |
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