Surgical complications of renal trasplant in the Hospital of Clinicas of San Lorenzo, Paraguay since 2010 to 2023

Abstract

Introduction: Kidney transplant is the definitive treatment for
patients with end-stage chronic renal failure, for whom it provides a better quality of life, being more effective and efficient than dialysis. It is less costly to society. The objective was to identify the most frequent immediate complications after kidney transplant at the Hospital de Clínicas from 2010 to 2023. Methodology: A retrospective, cross-sectional, descriptive observational study with non-probability convenience sampling. A total of 110 patient records from the Hospital de Clínicas archive were studied, focusing on post-operative renal transplant patients from the Hospital de Clínicas between 2010 and 2023. Results: 6.3% of patients experienced complications after surgery. The most common type of complication was vascular (57%). Urological complications accounted for 21.5%. Additionally, 21.5% of patients had surgical site bleeding, of which 50% required reoperation, without the bleeding site being identified during surgery. Conclusion: Complications showed a frequency of 6.3%. Vascular complications were the most common, followed by urological ones. A higher incidence of complications was observed in donors of cadaveric origin.