TITLE:
Surgical Complications and Evolution of Grafts in Children with Renal Transplantation at Cayetano Heredia National Hospital
AUTHORS:
Roberto Sanchez, Reyner Loza, Cesar Loza, Luis Zegarra
KEYWORDS:
Children; Terminal Chronic Renal Disease; Renal Transplantation; Surgical Complications
JOURNAL NAME:
Open Journal of Nephrology,
Vol.3 No.3,
September
9,
2013
ABSTRACT:
Objective: This
study aims to determine surgical complications and
graft outcome in children undergoing renal transplantation at
Cayetano Heredia National Hospital (CHNH). Materials and Methods: A case study
series focused on the incidence of surgical complications and graft outcome in
pediatric patients with end stage renal disease (ESRD) who underwent renal
transplant (RT) between December 2007 and March 2011. Results: The study described 29 pediatric
transplant patients whose average age was 13.69 ± 3.38 (6.2-17.9) years. The
etiology of end stage renal disease (ESRD) was renal hypoplasia in 12 patients
(41.38%), primary glomerulopathy in 10 patients (34.48%), obstructive uropathy
in 4 patients (13.79%), vasculitis in 2 patients (6.9%) and hemolytic uremic
syndrome (HUS) in 1 (3.45%) patient. There were 11 surgical complications
(34.48%): 2 cases of arterial thrombosis, 3 cases of urinary fistula, 3 of
lymphocele, 1 of venous thrombosis, urinoma and perineal collection. The
follow-up time was 15.84 ± 12.19 months. Graft survival at 12, 24, and 40
months was 89.29%, 77.16% and 77.16%, respectively. Conclusion: Surgical complications and graft
survival in pediatric renal transplantation in our series did not differ from
other published series.