Title: Analysis of Early risk assessment use as a prognostic and diagnostic tool for reduced the morbidity and mortality for renal transplant patients
Author: Dr Sankelp Joshi
DOI: https://dx.doi.org/10.18535/jmscr/v7i2.200
Abstract
Background: End Stage Renal Disease (ESRD) requires renal replacement therapy such as hemodialysis and peritoneal dialysis or Kidney transplantation (KTR) for the patient to survive. The purpose of renal replacement therapy is to prolong and maintain the quality of life. The treatment which allows the longest extension of useful life is chosen for a patient. The history of renal transplantation illustrates the successful integration of the fields of surgery, medicine and immunology, reflecting the development of healthcare in modern era which has improved the quality of life of the transplant patients.1
Low survival rates and a relatively poor quality of life on hemodialysis make kidney transplantation an attractive treatment alternative with good clinical results even in elderly patients with comorbidities
Objectives: 1. To analyse early surgical complications in renal transplant recipients following deceased donor and live donor (ABO compatible or incompatible) kidney transplants and compare it with the contemporary literature.
- To identify risk factors related to recipient characteristics associated with surgical complications.
- To find possible methods to prevent surgical complications.
Methods: After standard evaluation and following strict protocols, patient undergoing Transplant was closely followed to diagnose any complication at the earliest and treat at the very behest. This is a prospective study with main focus to assess surgical complications and overall outcome
Conclusions: Total number of surgical complications observed was 44. However total number of patients having surgical complications was 35 (33.9%). 9 (8.7%) patients had multiple complications while 26 (25.2%) patients developed single surgical complication.
Urological complication was seen in 25 (24.3%) patients and they constituted 59% of all surgical complications. Urinary Tract Infection was seen in 24 patients (23.3%).
No patient had ureteric leak at our centre. Ureteric stenosis was seen in 2 (1.94%) patients, lesser than that in literature, may be attributed to refined surgical skills.
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