Background: Transplantation has revolutionized
treatment of end- stage renal disease (ESRD) by proving
more cost effective than hemodialysis, with a lower
morbidity and improved quality of life.
Objective: To evaluate the development of these
complications in the first month postoperatively and
correlate their development to the type of donation
whether related or unrelated.
Methods: Fifty (50) patients aged (15-62) years, with a
mean age (34.46 ± 12.4 SD) years with (ESRD), who
underwent renal transplantation from September 2000 to
October 2002, were followed-up for one month
postoperatively clinically and by assessment of renal
function tests, sonographic and Doppler examinations.
Ureteral obstruction was considered in those patients who
had allograft dysfunction, ultrasonic evidence of
peritransplant collection, moderate-severe dilatation of
upper urinary tract of transplanted kidney and
postoperative ipsilateral or bilateral leg edema. Ureteral
leakage was considered in those patients who had
persistent drainage of urine with or without allograft
dysfunction. Two patients were excluded from the followup due to death in the first 24-hour postoperatively.
Results: Six (6) patients (12.5% of cases) developed
ureteral obstruction due to peri-ureteral fluid collection. In
five patients the collection decreased and upper urinary
tract dilatation improved gradually, as shown by
ultrasound, on watchful waiting. One patient had surgical
evacuation of a large hematoma. Four (4) patients (8.3%
of cases) developed ureteral leakage. The leakage stopped
in one patient after keeping the urethral catheter for a
longer period. Three patients had surgical exploration due
to persistent urinary leakage. Redo implantation of
allograft ureter was done in two cases.
Development of ureteral complications was compared
with the type of donation (related or unrelated). The
comparison was not statistically significant.
Conclusions: The development of ureteral
complications in not related to the type of donation.
Extravesical ureteral anastamosis with the use of a stent is
less likely to be associated with postoperative ureteral
complications.
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... Show MoreReceipt date:12/7/2020 accepted date:24/1/2021 Publication date:31/12/2021
This work is licensed under a Creative Commons Attribution 4.0 International License.
The constant characteristic of international relations is the constant change due to political, economic and military developments in addition to technology, and this in turn has led to many transformations in the concept of power, its uses, and the elements that form power and its distribution, and according to those variables, the concept of power has shifted from hard to soft, up to smart powe
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What types of materials are used in handicrafts and from which sources are they obtained? Through the answers, the problem of research was founded as follows:
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... Show MoreMoney laundering is consider a crime in legal perspective and aphenomenon of negative effects in economic and Social perspective for thevarious countries of the world by the diversity of their economies to make thebadly damaged in the banking service and its reputation in some cases may leadto bankruptcy of banks, and the fact that banks is one of the most importantcircles that revolve the illicit funds, Due to its branched the banking operations,speed and overlap and increase it's complicated with the progress of bankingoperations and the use of electronic services modern here's challenges atvarious levels between the application of the legislation to combat moneylaundering and between actual fact it must find ways and means of legislat
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... Show MoreThis book in our hands is a 'book in the science of rhymes' written by the linguistic and grammatical world 'Othman bin Jenni' 'T 392 AH', and included in it: the concept of rhyme, its characters, movements, and disadvantages, with mention of its ramifications, defining them by definition, clarification and martyrdom poetry, It is concise in size, but it is a book containing a full science in its content.
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The quantitative approach was used based on research, detection and proof, as data were collected from leader