POSSIBILITIES OF USING A NATIVE URETER DURING KIDNEY TRANSPLANTATION
Abstract
Urological complications (UС) can become the main cause of prolonged hospitalization, transplant loss, septic condition and pose a threat to the patient's life, despite the constant emergence of new preventive measures and increasingly advanced treatment methods. The incidence of UC in kidney transplantation (KT) ranges from 2.5 to 14.1%, which determines the relevance of scientific research in this field of medicine.
Objective: To study the features of the clinical course and the possibility of using native ureter during reconstructive operations after KT.
Material and methods. In the Republic of Bashkortostan over the period from 1996 to 2022, 568 kidney transplantations were performed. UC associated with ischemia and necrosis of the ureter of the renal graft were detected in 16 (2.8%) cases. For the first time, native ureter for KT in the Republic of Bashkortostan was used on 26.11.2009 in a patient with 4th kidney transplant.
We present our own experience of pyeloureteroanastomosis reconstruction using a native ureter for total ureter necrosis of a transplanted kidney. Reconstructive plastic surgery using a native ureter became a forced measure and allowed to achieve the desired clinical effect.
Conclusions. The use of pyeloureteroanastomosis with the recipient's own ureter can be considered a fairly universal way to restore the passage of urine through the urinary tract in the case of both «high» necrosis and stricture of the ureter of the transplant.
About the Authors
A. R. Zagitov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
A. M. Pushkarev
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России; ГБУЗ РБ «Республиканская клиническая больница им. Г.Г. Куватова»
Russian Federation
Russian Federation
R. R. Nuriakhmetov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России; ГБУЗ РБ «Республиканская клиническая больница им. Г.Г. Куватова»
Russian Federation
Russian Federation
I. I. Biganyakov
ГБУЗ РБ «Республиканская клиническая больница им. Г.Г. Куватова»
Russian Federation
Russian Federation
I. M. Nasibullin
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
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Review
For citations:
Zagitov A.R., Pushkarev A.M., Nuriakhmetov R.R., Biganyakov I.I., Nasibullin I.M. POSSIBILITIES OF USING A NATIVE URETER DURING KIDNEY TRANSPLANTATION. Bashkortostan Medical Journal. 2023;18(1):60-66. (In Russ.)
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