title: Wound morbidity after kidney transplant.
abstract: BACKGROUND
  Wound morbidity is an important surgical complication after kidney transplant.
  
  
  OBJECTIVE
  To assess risk factors for postoperative wound complications and the impact of such complications on outcomes of kidney transplant.
  
  
  METHODS
  Retrospectively, 108 consecutive kidney transplant patients between January 2010 and December 2010 were included in the analysis. Wound morbidity was defined as a surgical site infection or symptomatic lymphocele requiring intervention. Patient, donor, and surgical characteristics were reviewed.
  
  
  RESULTS
  Eight lymphoceles and 5 surgical site infections occurred in 12 patients. Risk factors for wound complications were recipient's age (P<.01), body mass index (P=.01), urinary tract infection (P=.01), and prolonged postoperative wound drainage (P=.047). Wound morbidity did not increase the incidence of delayed graft function, acute rejection, graft failure, or mortality. Obesity, recipient's age, urinary tract infection, and prolonged wound drainage are risk factors for wound-related complications. Graft and patient survival rates are comparable between patients with and without wound-related complications.
authors.affiliation: Department of Surgery, Academic Medical Center, Amsterdam, the Netherlands.
authors.forename: M Matthijs
authors.initials: MM
authors.lastname: Fockens
authors.affiliation: Department of Surgery, Academic Medical Center, Amsterdam, the Netherlands.
authors.forename: Victor P
authors.initials: VP
authors.lastname: Alberts
authors.affiliation: Renal Transplant Unit, Department of Internal Medicine, Academic Medical Center, Amsterdam, the Netherlands.
authors.forename: Frederike J
authors.initials: FJ
authors.lastname: Bemelman
authors.affiliation: Renal Transplant Unit, Department of Internal Medicine, Academic Medical Center, Amsterdam, the Netherlands.
authors.forename: Karlijn A M I
authors.initials: KA
authors.lastname: van der Pant
authors.affiliation: Department of Surgery, Academic Medical Center, Amsterdam, the Netherlands.
authors.forename: Mirza M
authors.initials: MM
authors.lastname: Idu
mesh_terms: D000367:Age Factors; D004322:Drainage; D005260:Female; D006801:Humans; D015994:Incidence; D016030:Kidney Transplantation; D008210:Lymphocele / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D012189:Retrospective Studies; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000453:epidemiology*; D014552:Urinary Tract Infections / Q000150:complications