الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The preferred modality for renal replacement is renal transplantation. Survival rates have improved because of refined surgical techniques, more effective immunosuppression with medications.
Surgical complications remain an important potential cause of graft dysfunction and /or graft loss after kidney transplants.
Vascular complications include renal artery stenosis, renal vascular thrombosis and post-transplant hemorrhage. Nonvascular complications include ureteral obstruction, urine leak, neoplasms and post transplantation lymphoproliferative disorder.
Regarding vascular complications, Doppler ultrasound should be the initial diagnostic modality. Others modalities are multidetectors helical CT and MRI with gadolinium. Treatment options for vascular complications include both surgical and endoluminal options.Surgical repair and endourological techniques are offered to post- transplant urologic complications.
Our study aimed at studying the surgical complications of renal transplantation in Alexandria University and to correlate them to patients’ outcomes .A retrospective study upon 104 couples during the period from June 1990 to December 2012. All of the recipients and their donors were followed up till June 2014 with a limitation of incomplete recording of peri-operative research data.
The most common recipient age at transplantation was between 20-30 years (49%) with the median age (29 years). End-stage renal failure was due to non-surgical causes in 99 recipients (95.2%).
Twenty two recipients (21%) were scheduled for hemodialysis in the first post- operative week.
Overall there were forty one surgical complications in thirty seven recipients, an incidence of 35.5%. Nineteen vascular complications developed in 17 patients and 11 recipients had 13 urologic complications. Lymphocele was post-operatively diagnosed in nine recipients.