Paper Information

Title: 

WOUND COMPLICATIONS AFTER RENAL TRANSPLANTATION

Type: PAPER
Author(s): ZARGAR M.A.,SOLEIMANI M.J.*
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PROPOSE: THE PURPOSE OF THIS ANALYSIS WAS TO DETERMINE THE INCIDENCE OF SURGICAL COMPLICATIONS INCLUDING WOUND INFECTION, FACIAL, INSIONAL HERNIA AND RISK FACTORS AFTER RENAL TRANSPLANTATION.
METHODS & MATERIALS: BETWEEN APRIL 1986 AND OCTOBER 2002, WE PERFORMED 1568 ADULT KIDNEY TRANSPLANTATIONS, THESE RECIPIENTS ACCESSED FOR WOUND INFECTION, FASCIAL DEHISCENCE, INSIONAL HERNIA ANDRISK FACTORS INCLUDING DIABETES MELITUS, OBESITY, LEAKAGE, ACUTE REJECTION, REOPERATION, HEMATOMA AND MYCOFENOLATE MOFETIL. THIS STUDY WAS DESCRIPTIVE-CASE CONTROL AND WE USED CHI-SQUARE TEST AND TWO SIDED FISHER EXACT TEST FOR STATISTIC ANALYSIS.
RESULTS: MEAN TIME TO DEVELOPMENT OF WOUND INFECTION WAS 20.6 DAYS AND 10 RECIPIENTS WITH WOUND INFECTION (%0.64) AND SIGNIFICANT RISK FACTORS WERE DM (P=.041), REOPERATION (P=.002), LEAKAGE (P=.001). IN 20 RECIPIENTS FACIAL DEHISCENCE AND HERNIA (%1.1) WITH MEAN TIME TO DEVELOPMENT 140.45 DAYS WAS RECOGNIZED, %66 OF CASES WAS OCCURED IN FIRST THREE MONTH AFTER RENAL TRANSPLANTATION AND SIGNIFICANT RISKN FACTORS WERE REOPERATION (P=.015), OBESITY (P=.027), LEAKAGE (P=.015) AND ACUTE REJECTION (P=.006).
DISCUSSION & CONCLUSION: DESPITE IMMUNOSUPPRESSION AND PREDISPOSING CONDITIONS, SURGICAL COMPLICATIONS IN KIDNEY RECIPIENTS IS LOW IN RECENT DECADES. SIGNIFICANT RISK FACTORS FOR WOUND COMPLICATIONS ARE DM, OBESITY, LEAKAGE AND REOPERATION, HOWEVER WITH PREOPERATIVE CARE, ANTIBIOTICS AND SUITABLE SURGICAL TECHNIQE, THESE COMPLICATIONS IS REDUCED.

 
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