TREATMENT OPTIMIZATION OF KIDNEY RECIPIENTS WITH PRE-TRANSPLANT PROLONGED ANURIA
Aim. Оptimize the treatment of patients with prolonged anuria kidney transplantation due to the introduction of the diagnostic algorithm and treatment of patients at risk. Materials and Methods. 145 renal transplant recipients who had surgery during the period from 2006 to 2011. Of these – 73 (50.3%...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
2013-10-01
|
| Series: | Вестник трансплантологии и искусственных органов |
| Subjects: | |
| Online Access: | https://journal.transpl.ru/vtio/article/view/426 |
| _version_ | 1826546423113449472 |
|---|---|
| author | A. V. Kolsanov B. I. Kharitonov I. A. Bardovsky |
| author_facet | A. V. Kolsanov B. I. Kharitonov I. A. Bardovsky |
| author_sort | A. V. Kolsanov |
| collection | DOAJ |
| description | Aim. Оptimize the treatment of patients with prolonged anuria kidney transplantation due to the introduction of the diagnostic algorithm and treatment of patients at risk. Materials and Methods. 145 renal transplant recipients who had surgery during the period from 2006 to 2011. Of these – 73 (50.3%) patients with anu- ria period exceeding 3 years. An algorithm for the treatment of patients with prolonged anuria kidney trans- plantation, which consists of three stages: pre-operative, peri-operative and post-operative. In the study, two groups. The first group of 47 patients, which were held all three stages of the algorithm evaluation and treat- ment of patients with prolonged anuria in kidney transplantation. The second group of 26 patients with pro- longed anuria without urological examination and treatment. Results. Implementation of the proposed algo- rithm of diagnosis and treatment of patients with prolonged anuria can reduce the risk of adverse outcome of 11. Additional specific urological examination and treatment can reduce the number of urological com- plications, both in the immediate and late postoperative period by 20%. The emergence of severe urological complications in patients with prolonged anuria increases the risk of adverse outcome of 17. The most pre- ferred anastomosis urinary tract in recipients were on long-term renal replacement therapy is an immersion- type anastomosis «drop in». Renal transplant patients with prolonged anuria preferable to perform up to 45 ye- ars, as this reduces the relative risk of an adverse outcome by 14 times compared with the older age group.Conclusion. Prolonged anuria in a patient with chronic renal failure awaiting a kidney transplant, is not a con- traindication to the operation. The duration of anuria not significantly affect the results of renal transplantation. |
| first_indexed | 2024-04-10T00:54:12Z |
| format | Article |
| id | doaj.art-6d6d81d19d4542b2ba13f37c20ce3002 |
| institution | Directory Open Access Journal |
| issn | 1995-1191 |
| language | Russian |
| last_indexed | 2025-03-14T05:33:31Z |
| publishDate | 2013-10-01 |
| publisher | Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov |
| record_format | Article |
| series | Вестник трансплантологии и искусственных органов |
| spelling | doaj.art-6d6d81d19d4542b2ba13f37c20ce30022025-03-05T14:11:47ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovВестник трансплантологии и искусственных органов1995-11912013-10-01153253110.15825/1995-1191-2013-3-25-31369TREATMENT OPTIMIZATION OF KIDNEY RECIPIENTS WITH PRE-TRANSPLANT PROLONGED ANURIAA. V. Kolsanov0B. I. Kharitonov1I. A. Bardovsky2Chair of operative surgery and clinical anatomy with a course of innovative technologies Samara state medical University (rector – academician of RAMSci, prof. Kotelnikov G.P.) Samara, Russian FederationChair of operative surgery and clinical anatomy with a course of innovative technologies Samara state medical University (rector – academician of RAMSci, prof. Kotelnikov G.P.) Samara, Russian FederationChair of operative surgery and clinical anatomy with a course of innovative technologies Samara state medical University (rector – academician of RAMSci, prof. Kotelnikov G.P.) Samara, Russian FederationAim. Оptimize the treatment of patients with prolonged anuria kidney transplantation due to the introduction of the diagnostic algorithm and treatment of patients at risk. Materials and Methods. 145 renal transplant recipients who had surgery during the period from 2006 to 2011. Of these – 73 (50.3%) patients with anu- ria period exceeding 3 years. An algorithm for the treatment of patients with prolonged anuria kidney trans- plantation, which consists of three stages: pre-operative, peri-operative and post-operative. In the study, two groups. The first group of 47 patients, which were held all three stages of the algorithm evaluation and treat- ment of patients with prolonged anuria in kidney transplantation. The second group of 26 patients with pro- longed anuria without urological examination and treatment. Results. Implementation of the proposed algo- rithm of diagnosis and treatment of patients with prolonged anuria can reduce the risk of adverse outcome of 11. Additional specific urological examination and treatment can reduce the number of urological com- plications, both in the immediate and late postoperative period by 20%. The emergence of severe urological complications in patients with prolonged anuria increases the risk of adverse outcome of 17. The most pre- ferred anastomosis urinary tract in recipients were on long-term renal replacement therapy is an immersion- type anastomosis «drop in». Renal transplant patients with prolonged anuria preferable to perform up to 45 ye- ars, as this reduces the relative risk of an adverse outcome by 14 times compared with the older age group.Conclusion. Prolonged anuria in a patient with chronic renal failure awaiting a kidney transplant, is not a con- traindication to the operation. The duration of anuria not significantly affect the results of renal transplantation.https://journal.transpl.ru/vtio/article/view/426organ transplantationkidney transplantationurological complications in kidney transplantation |
| spellingShingle | A. V. Kolsanov B. I. Kharitonov I. A. Bardovsky TREATMENT OPTIMIZATION OF KIDNEY RECIPIENTS WITH PRE-TRANSPLANT PROLONGED ANURIA Вестник трансплантологии и искусственных органов organ transplantation kidney transplantation urological complications in kidney transplantation |
| title | TREATMENT OPTIMIZATION OF KIDNEY RECIPIENTS WITH PRE-TRANSPLANT PROLONGED ANURIA |
| title_full | TREATMENT OPTIMIZATION OF KIDNEY RECIPIENTS WITH PRE-TRANSPLANT PROLONGED ANURIA |
| title_fullStr | TREATMENT OPTIMIZATION OF KIDNEY RECIPIENTS WITH PRE-TRANSPLANT PROLONGED ANURIA |
| title_full_unstemmed | TREATMENT OPTIMIZATION OF KIDNEY RECIPIENTS WITH PRE-TRANSPLANT PROLONGED ANURIA |
| title_short | TREATMENT OPTIMIZATION OF KIDNEY RECIPIENTS WITH PRE-TRANSPLANT PROLONGED ANURIA |
| title_sort | treatment optimization of kidney recipients with pre transplant prolonged anuria |
| topic | organ transplantation kidney transplantation urological complications in kidney transplantation |
| url | https://journal.transpl.ru/vtio/article/view/426 |
| work_keys_str_mv | AT avkolsanov treatmentoptimizationofkidneyrecipientswithpretransplantprolongedanuria AT bikharitonov treatmentoptimizationofkidneyrecipientswithpretransplantprolongedanuria AT iabardovsky treatmentoptimizationofkidneyrecipientswithpretransplantprolongedanuria |