[An analysis of the anomalies, pathologies and iatrogenic diseases in the kidney graft: an evaluation of bench surgery].
OBJECTIVE
This study analyzes the anomalies, pathologies and iatrogenic lesions of renal grafts, their impact on graft viability and the possibilities of repair.


METHODS
From 1980 to 1983, 315 kidneys were available for transplantation; 50 were from living donors and 265 from cadavers. Of the 265 cadaver grafts, our staff harvested 173 and 92 came from other centers. Of these, 113 (42.6%) presented anomalies, pathologies or iatrogenic lesions requiring surgical repair.


RESULTS
13 kidneys were not suitable for transplantation due to pathologies. Sixty-one grafts presenting anomalies and pathologies, and 38 with iatrogenic lesions were repaired by bench surgery.


CONCLUSIONS
Although there was a high incidence of anomalies, pathologies or iatrogenic lesions (42.6%), repair by bench surgery permitted transplantation of these grafts and only 6 (3.01%) allografts required subsequent removal, which is a low incidence considering that a higher percentage of kidneys are lost due to family refusal (19%) or as a result of legal problems.
Ballesteros Sampol
J J
JJ
Servicio de Urología, Hospital Ntra. Sra. de la Esperanza, Barcelona, España.
Guzmán Fernández
A
A
Cortadellas Angel
R
R
D002102:Cadaver; D006085:Graft Survival; D006801:Humans; D007049:Iatrogenic Disease; D007668:Kidney / Q000002:abnormalities* / Q000293:injuries / Q000473:pathology* / Q000601:surgery; D016030:Kidney Transplantation / Q000379:methods / Q000473:pathology*
Análisis de las anomalías, patologías y yatrogenias del injerto renal: valoración de la cirugía de banco.