title: Clinical Impact of Surgical Complications in Kidney Transplant Recipients in a Reference Hospital in Salvador, Bahia, Brazil.
abstract: BACKGROUND
  Renal transplantation is the treatment of choice for patients with stage V chronic kidney disease, which does not have contraindications to the procedure and is more cost-effective than dialysis treatments and provides better survival and quality of life.
  
  
  OBJECTIVE
  The objective of this study was to evaluate the incidence of postoperative complications in kidney transplant recipients in a reference hospital.
  
  
  METHODS
  This was a descriptive and retrospective study involving the analysis of patient records during hospitalization and outpatient treatment. We analyzed the demographics, clinical indicators, surgical techniques, and postoperative complications.
  
  
  RESULTS
  In the analysis of 147 transplantations, there was a higher incidence of transplantation in female recipients, average age of 37 years with a predominance of cadaveric transplantation. Of all pretransplantation comorbidities, hypertension was the most frequent. The overall incidence of surgical complications was 29.9%, with an incidence of vascular complications of 12.7%, 13.4% of surgical site complications, 8.2% of urologic complications, and 3% of hemorrhagic complications.
  
  
  CONCLUSIONS
  Vascular complications are serious complications and are associated with increased risk of graft loss (relative risk, 8.4), particularly arterial thrombosis. Patients with ureteral anastomosis using Lich-Gregoir technique showed lower urologic complications compared with patients with anastomosis by Leadbetter-Politano technique.
  
  
  CONCLUSIONS
  Surgical complications have different clinical effects, depending on their category. The vascular complications are associated with graft lost.
authors.affiliation: Univerisdade Federal Da Bahia, Salvador, Bahia, Brazil. Electronic address: zeheck@hotmail.com.
authors.forename: J C
authors.initials: JC
authors.lastname: Araújo
authors.affiliation: Univerisdade Federal Da Bahia, Salvador, Bahia, Brazil.
authors.forename: R W D S
authors.initials: RW
authors.lastname: Barbosa
authors.affiliation: Hospital Ana Néry, Salvador, Bahia, Brazil.
authors.forename: M F
authors.initials: MF
authors.lastname: Machado
authors.affiliation: Hospital Ana Néry, Salvador, Bahia, Brazil.
authors.forename: P S
authors.initials: PS
authors.lastname: Furtado
authors.affiliation: Hospital Ana Néry, Salvador, Bahia, Brazil.
authors.forename: C M D
authors.initials: CM
authors.lastname: Pugas
authors.affiliation: Hospital Ana Néry, Salvador, Bahia, Brazil.
authors.forename: J S D A
authors.initials: JS
authors.lastname: Filho
authors.affiliation: Hospital Ana Néry, Salvador, Bahia, Brazil.
authors.forename: C F
authors.initials: CF
authors.lastname: Lopes
authors.affiliation: Hospital Ana Néry, Salvador, Bahia, Brazil.
authors.forename: R J C
authors.initials: RJ
authors.lastname: Mattoso
authors.affiliation: Univerisdade Federal Da Bahia, Salvador, Bahia, Brazil; Hospital Ana Néry, Salvador, Bahia, Brazil.
authors.forename: C L
authors.initials: CL
authors.lastname: Neves
mesh_terms: D000038:Abscess / Q000453:epidemiology; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods*; D001803:Blood Transfusion; D001938:Brazil / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D000069290:Incisional Hernia / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D008210:Lymphocele / Q000453:epidemiology; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology*; D019106:Postoperative Hemorrhage / Q000453:epidemiology / Q000628:therapy; D011788:Quality of Life; D006435:Renal Dialysis; D012086:Reoperation; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology; D013927:Thrombosis / Q000453:epidemiology*; D066027:Transplant Recipients; D014513:Ureter / Q000601:surgery; D014517:Ureteral Obstruction / Q000453:epidemiology; D014548:Urinary Fistula / Q000453:epidemiology