POSTOPERATIVE HEMORRHAGE IN DECEASED EXPANDED CRITERIA DONOR RENAL TRANSPLANTATIONS – A SINGLE CENTRE EXPERIENCE

Dr. P.M.Rubaganesh; Prof. Dr. K. Saravanan; Prof. Dr. K. Subramaniyan

Volume : VIII, Issue : VIII, August - 2018

POSTOPERATIVE HEMORRHAGE IN DECEASED EXPANDED CRITERIA DONOR RENAL TRANSPLANTATIONS – A SINGLE CENTRE EXPERIENCE

Dr. P. M. Rubaganesh, Prof. Dr. K. Saravanan, Prof. Dr. K. Subramaniyan

Abstract :

Deceased donor renal transplantations (DDRT) tries to idge the gap between demand and supply of kidneys from live donors. Expanded criteria donors (ECD), ie., those above 60 years or 50–59 years who had hypertension, Serum Creatinine above 1.5 mg/dl, or those died of cereo–vascular accidents, have been included to further increase the deceased donor pool. ECD kidneys have increased incidence of delayed graft function. Postoperative hemorrhage is found more frequently in DDRTs compared to Live donor transplantations and this is more pronounced in ECD transplantations. A retrospective analysis, was done in Institute of Urology, Madras medical college and Rajiv Gandhi Government General Hospital, to study postoperative hemorrhage in ECD renal transplantations and its management.