Vascular Postoperative Complications

Urological System Complication of Procedure

Lymphocele

Postoperative Infection

The biological adhesive will be applied to the study group, with the spray technique in two atmospheres of pressure in a total amount of 10 ml.

Fibrin Glue

Department of Transplantation. Specialties Hospital. Mexican Institute of Sociaql Security

Research Unit in Clinical Epidemiology, Specialties Hospital. Mexican Institute of Social Security

Fibrin Based Adhesive for the Prevention of Surgical Complications in the Kidney Transplantation

Application of the Biological Fibrin Based Adhesive for the Prevention of Surgical Complications in the Kidney Transplant

Patients will be followed from the immediate postoperative period until discharge, and at follow up every week the first month, then every 15 days the second month, and monthly until one year follow up. Identifying any kind of complication derived from the surgical procedure.

Identifying the different possible vascular postoperative complications:
Renal artery stenosis: The narrowing of the light by 30% diagnosed by Doppler ecosonography and corroborated by arteriography.
Renal vein stenosis: The narrowing of light> 40% of the renal vein Doppler and confirmed by venography ecosonography graft.
Arterial thrombosis: The total occlusion of the renal artery lumen by a thrombus, which prevents blood perfusion of the kidney, diagnosed by Doppler and arteriography of the graft.

Identifying the different possible urological postoperative complications:
Urinary Fistula: The loss of continuity of the ureterovesical anastomosis with formation of a journey outward, allowing the escape of urine into the preperitoneal region at the site of graft placement.
Ureteral obstruction: Stopping or reducing the passage of urine into the bladder through the ureter at the ureterovesical anastomosis, which is given by hyperplasia at the site.
Ureteral necrosis: devitalization of the ureter as a result of devascularization, with loss of functionality and feasibility.

Identifying the different possible lymphatic postoperative complications:
Lymphocele: encapsulated collection of lymphatic fluid in postoperative graft site.
Lymphatic fistula: Leakage of lymph fluid with formation of a journey to the outside of the surgical wound.

Identifying the different possible infectious postoperative complications:
*Surgical wound infection: Signs of wound infection, like redness, heat, increased local temperature and swelling of the wound. If the drain or treat this is limited, the subcutaneous tissue infection was considered superficial infection of the surgical site, if any collection of pus in the thickness of wound without involvement of the surgical wound abscess be known. If there is necrosis necrotizing myofasciitis be called.

lymphocele/kreatinin

Fibrin Based Adhesive for the Prevention of Surgical Complications in the Kidney Transplantation

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