title: [Surgical complications after kidney transplantation. Research based on 185 cases].
abstract: OBJECTIVE
  To analyze the incidence of surgical complications its diagnosis and treatment after renal transplantation.
  
  
  METHODS
  A retrospective study measuring the incidence of surgical complications and reviewing its diagnosis and treatment in 185 renal single transplants.
  
  
  RESULTS
  185 transplants, 27% had surgical complications. Only one patient lost the graft due to surgical complications and there was no associated mortality. Cold ischemia time 20 hours. Double J stenting in 19%, under surgeon's opinion. Vascular complications 3.2% (all of them renal artery stenosis). Urological complications 6.4%. Perinephric haematoma 7%. Lymphocele 4.9%. Peritoneum related complications 4%. Other 4%. The diagnosis was clinical and radiological in most of cases. 14% needed any kind of intervention.
  
  
  CONCLUSIONS
  Our results are similar to those reported in other recent series. Only one surgical team involved and the same technique for vascular and vesico-ureteric anastomosis probably makes lower our complications rate. Early postoperative abdominal ultrasonography contributes to the diagnosis of surgical complications. The initial treatment approach is the endoscopic-conservative one, with exceptions.
authors.affiliation: Unidad de Trasplante Abdominal, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela. danielfentes@yahoo.es
authors.forename: D A
authors.initials: DA
authors.lastname: Pérez Fentes
authors.forename: M
authors.initials: M
authors.lastname: Blanco Parra
authors.forename: V
authors.initials: V
authors.lastname: Toucedo Caamaño
authors.forename: R
authors.initials: R
authors.lastname: Romero Burgos
authors.forename: J A
authors.initials: JA
authors.lastname: Puñal Rodríguez
authors.forename: E
authors.initials: E
authors.lastname: Varo Pérez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D015994:Incidence; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies