Reconstructive Surgery for Kidney Transplant Recipients

Many decades have passed since the first kidney transplantation, which is now the most common organ transplant performed worldwide. Despite the impressive advances, some patients may develop posttransplant complications that require proper management and treatment. The plastic and reconstructive sur...

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Bibliographic Details
Published in:Transplantation proceedings 2005-12, Vol.37 (10), p.4218-4222
Main Authors: Papadopoulos, O., Konofaos, P., Chrisostomidis, C., Lionaki, S., Georgiou, P., Vlasis, K., Kostakis, A.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cadaver
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Kidney Transplantation - adverse effects
Living Donors
Medical sciences
Middle Aged
Necrosis
Postoperative Complications - classification
Postoperative Complications - pathology
Postoperative Complications - surgery
Reconstructive Surgical Procedures - classification
Recurrence
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Tissue Donors
Tissue, organ and graft immunology
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Summary:Many decades have passed since the first kidney transplantation, which is now the most common organ transplant performed worldwide. Despite the impressive advances, some patients may develop posttransplant complications that require proper management and treatment. The plastic and reconstructive surgeon, among others, may be called on to help resolve a number of reconstructive problems present in the immunosuppressed kidney recipients. This study presents our experience with 41 kidney recipients who needed plastic surgical treatment. Patients were placed into one of three study groups according to the type of posttransplant surgical condition. Group 1 included 17 patients with posttraumatic wound healing problems; group 2, 17 patients with skin tumors; and group 3, 7 patients with other posttransplant surgical complications. Only two of these patients had early posttransplant wound dehiscence; the remaining patients suffered late complications. In conclusion, the kidney recipient can successfully undergo minor or major reconstructive procedures. The possibility of surgical problems arising during the early posttransplant period presents increased complication rates, possibly due to high immunosuppressive drug levels.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2005.11.048