"Early" removal of the internal ureteral stent after kidney transplantation
A. V. Shabunin,
P. A. Drozdov,
D. A. Eremin,
I. V. Nesterenko,
D. A. Makeev,
O. S. Zhuravel,
S. A. Astapovich https://doi.org/10.23873/2074-0506-2020-12-4-278-285
Abstract
Background. Urological complications are currently one of the main causes of the renal graft loss and the death of the recipient in the early and late periods after surgery.
Objective. To reduce the risk of developing infectious complications after kidney transplantation by early removal of the internal ureteral stent.
Material and methods. From June 2018 to March 2020, the Department of Organ and/or Tissue Transplantation of the City Clinical Hospital n.a. S.P. Botkin performed 89 deseased-donor kidney transplantations with the placement of an internal ureteral stent. Depending on the timing of stent removal, the patients were divided into 2 groups: the first group included 54 patients who had the stent removed on day 21, and the second group included 35 patients who had the stent removed on day 14.
Results. No urological complications were recorded in both groups. Urinary tract infection was recorded in 8 patients (15%) in the first group, and in 1 patient (3%) in the second group (p = 0.01).
Conclusion. Removal of the internal ureteral stent on the 14th day after kidney transplantation safely and reliably reduces the risk of a urinary tract infection development, improving the immediate results of the operation.
About the Authors
A. V. Shabunin
City Clinical Hospital n.a. S.P. Botkin; Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Aleksey V. Shabunin - Corresponding Member of the Russian Academy of Sciences, Prof., Dr. Sci. (Med.), Chief Physician; Head of the Department of Surgery
5 2-nd Botkinskiy Dr., Moscow 125284
2/1 Bldg. 1 Barrikadnaya St., Moscow 125993
P. A. Drozdov
City Clinical Hospital n.a. S.P. Botkin
Russian Federation
Pavel A. Drozdov - Cand. Sci. (Med.), Head of the Department of Organ and/or Tissue Transplantation 5 2-nd Botkinskiy Dr., Moscow 125284
Russian Federation
Pavel A. Drozdov - Cand. Sci. (Med.), Head of the Department of Organ and/or Tissue Transplantation 5 2-nd Botkinskiy Dr., Moscow 125284
D. A. Eremin
City Clinical Hospital n.a. S.P. Botkin
Russian Federation
Russian Federation
Dmitry A. Eremin - Cand. Sci. (Med.), Clinical Pharmacologist
5 2-nd Botkinskiy Dr., Moscow 125284
I. V. Nesterenko
City Clinical Hospital n.a. S.P. Botkin
Russian Federation
Russian Federation
Igor V. Nesterenko - Dr. Sci. (Med.), Surgeon of the Department of Organ and / or Tissue Transplantation
5 2-nd Botkinskiy Dr., Moscow 125284
D. A. Makeev
City Clinical Hospital n.a. S.P. Botkin
Russian Federation
Russian Federation
Dmitry A. Makeev - Surgeon of the Department of Organ and / or Tissue Transplantation
5 2-nd Botkinskiy Dr., Moscow 125284
O. S. Zhuravel
City Clinical Hospital n.a. S.P. Botkin; Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Olesya S. Zhuravel - Surgeon; Senior Laboratory Assistant of the Surgery Department
5 2-nd Botkinskiy Dr., Moscow 125284
2/1 Bldg. 1 Barrikadnaya St., Moscow 125993
S. A. Astapovich
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Sergey A. Astapovich - Medical Student of the International School "Medicine of the Future"
8 Bldg. 2 Trubetskaya St., Moscow 119991
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Review
For citations:
Shabunin A.V., Drozdov P.A., Eremin D.A., Nesterenko I.V., Makeev D.A., Zhuravel O.S., Astapovich S.A. "Early" removal of the internal ureteral stent after kidney transplantation. Transplantologiya. The Russian Journal of Transplantation. 2020;12(4):278-285. https://doi.org/10.23873/2074-0506-2020-12-4-278-285
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