Is Heparinization Necessary in the Early Postoperative Period of Renal Transplantation from Cadaveric Donors?

2012 ◽  
Vol 44 (6) ◽  
pp. 1690-1693 ◽  
Author(s):  
H. Bakkaloglu ◽  
A. Salmaslioglu ◽  
F. Tunca ◽  
K.R. Serin ◽  
O. Agcaoglu ◽  
...  
Author(s):  
Mithat Eksi ◽  
Selcuk Sahin ◽  
Ismail Evren ◽  
Yusuf Arıkan ◽  
Fatih Gokhan Ozbay ◽  
...  

Purpose: To investigate the quality of life (QoL) in patients with end-stage renal disease who underwent open or robot-assisted renal transplantation (ORT and RART). Materials and Methods: Patients who underwent ORT and RART at Bakirkoy Sadi Konuk Training and Research Hospital between June 2016 and December 2018 constituted the target population of this study. The patient group was divided into two groups as per the surgical technique (i.e., open vs. robot-assisted). Demographic data, preoperative and postoperative data of all patients were collected prospectively. The QoL of the patients was assessed preoperatively and on the postoperative 30th day. Results: 67 patients who underwent ORT and 60 patients who underwent RART were included. The mean patient age and BMI were calculated as 40,9 ± 11,6 years and 24,4 ± 2,9 kg/m2, respectively. While mean total ischemia time was shorter in the ‘open’ group, incision length, duration of surgical drainage and hospital stay were shorter in the ‘robot-assisted’ group. The physical component scores of the QoL questionnaire revealed that postoperative impairment of quality of life was more significant in the ORT than the RART. Conclusion: Patients who underwent RART have a higher QoL than the patients who were treated with ORT as per their self-reported QoL scores in the early postoperative period. Keywords: End-stage renal disease; Open renal transplantation; Robot-assisted renal transplantation; Quality of life


Nephron ◽  
1990 ◽  
Vol 55 (4) ◽  
pp. 394-399 ◽  
Author(s):  
Hugh R. Brady ◽  
Kamel S. Kamel ◽  
Mary E. Harding ◽  
Gerald T. Cook ◽  
George A. deVeber ◽  
...  

Author(s):  
T. V. Amvrosieva ◽  
Z. F. Bohush ◽  
E. P. Kishkurno ◽  
S. V. Baiko ◽  
A. S. Arinovich ◽  
...  

The article presents the results of viral infections monitoring in children at different times after renal transplantation and experience of their use in treatment of post-transplant complications. This study presents the results of virological investigation of relevant agents of viral infections (CMV, EBV, HSV 1, 2 tons, HHV 6, HHV 7, VZV, ADV, BKV and JCV). The frequency of identifying the viral infections in blood in the early postoperative period (the frst 3 months after transplantation) was 20.0 %, in the late postoperative period – 8.0 %, in the case of graft dysfunction – 21.4 %. According to the results of PCR tests of urine, BK and / or JC viruses were identifed in 40.0 % of recipients in the early postoperative period and in 47.1 % of recipients in the late postoperative period. The dominant pathogens were polyomaviruses, BKV (22.9 %) prevailed in the early postoperative period, and JCV (36.8 %) in the late postoperative period. There are the examples of treatment of acute transplant rejection combined with HHV 6 viremia and graft dysfunction combined with a long-term persistence of BKV infection. The use of vanganciclovir in the frst case and the replacement mycophenolate mofetil (MMF) by azathioprine in the second one allowed stabilizing the function of the transplanted organ.


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