[Ten year experience in kidney transplantation in patients undergoing peritoneal dialysis (1996-2006)].
In: Medicinski pregled, Jg. 60 Suppl 2 (2007), S. 151-4
academicJournal
Zugriff:
Introduction: Kidney transplantation is nowadays considered the most sophisticated method of treatment of chronic terminal renal insufficiency. The advancement in surgical technique and the use of new immunosuppressive medications provide a longer survival period of both the patient and the graft.
Material and Methods: The objective of this paper is a retrospective presentation of the ten-year monitoring of kidney transplantation in patients undergoing peritoneal dialysis performed at the Military Medical Academy.
Results and Discussion: During that period, 32 patients underwent the transplantation (18 men and 14 women of the average age of 32.48+/-2.1). The total of 34 transplantations were performed, out of which 2 were retransplantations. Patient monitoring period was 7-92 months. The immunosuppressive therapy was quadrupled in 17 (50%) patients and tripled in 17 (50%) of them. The loss of the graft in the early period following the transplantation occurred in 5 (15.6%) patients due to trombosis a. renalis, out of whom two were retransplantation cases. Registered surgical vascular complications included 5 (15.6%) bleeding, 4 (12.5%) hematomes and 6 (18.7%) lymfocells. Delayed graft function occurred in 5 (14.7%) and acute rejection in 7 (20.5%) patients while the disease reccured in 2 patients. As for the complications, rejection without the loss of graft was registered in 4 (12.5%) pts, ureter stenosis in 3 (8.82%) pts, bacterial infections in 4 (12.5%) pts and reactivation of CMV infections in 9 (26.4%) pts. Our patients are observed for the maintenance of stable medium volume of serum creatinine (which is 123.6 +/-10.2 umol/l in the early stage and 133.24+/-11.1 umol/l in the end of the monitoring period as well as the medium volume of clearence creatinine (which is 64.80+/-3.5 ml/min at the early phase of monitoring period and 69.47+/-3.3 ml/min. in the end).
Conclusion: Our group of renal transplantation patients, undergoing peritoneal dialysis was with stable renal function registered through the monitoring period.
Titel: |
[Ten year experience in kidney transplantation in patients undergoing peritoneal dialysis (1996-2006)].
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Autor/in / Beteiligte Person: | Rabrenović, V ; Kovacević, Z ; Ignjatović, L ; Jovanović, D ; Maksić, D ; Vavić, N ; Paunić, Z |
Zeitschrift: | Medicinski pregled, Jg. 60 Suppl 2 (2007), S. 151-4 |
Veröffentlichung: | Novi Sad : Društvo lekara Vojvodine, 2007 |
Medientyp: | academicJournal |
ISSN: | 0025-8105 (print) |
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