yıldız, ihsan süleyman demirel üniversitesi - tıp fakültesi - genel cerrahi anabilim dalı, Turkey , sabuncuoğlu, mehmet zafer süleyman demirel üniversitesi - tıp fakültesi - genel cerrahi anabilim dalı, Turkey , koca, yavuz savaş süleyman demirel üniversitesi - tıp fakultesi - genel cerrahi anabilim dalı, Turkey , erdoğan, ayşen süleyman demirel üniversitesi - tıp fakültesi - anestezi ve reanimasyon anabilim dalı, Turkey , solmaz, filiz alkaya süleyman demirel üniversitesi - tip fakültesi - anestezi ve reanimasyon anabilim dalı, Turkey , inal, salih süleyman demirel üniversitesi - tıp fakültesi - iç hastalıkları anabilim dalı, nefroloji bd, Turkey

The first year experience about kidney transplantation in University of Suleyman Demirel

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Objectives: In last 25 years, a great success has been achieved with the development of immunology, anti-rejection drugs and surgical techniques in organ transplantation. The aim of this study is to present our one year experience about live and cadaveric donor kidney transplants during 2015 and 2016 in Organ Transplantation Center which was newly established. Material and method: The organs were obtained from living donors and cadavers who had brain death declaration from the hospitals in Isparta and around. The kidneys were transplanted successfully into the right iliac fossa after oblique incision to the right lower abdominal quadrant by the same transplant team. All patients received standard immunosuppression therapy with polyclonal anti-thymocyte-globülin (ATG) in the induction, and subsequently triple immuno-suppression therapy including steroid, tacrolimus, and mycophenolate mofetil. Results: The mean±standard deviation (SD) age 12 patients was 45±10.10 (male:42-58, female: 29-56). The patients received 12 kidneys from 12 cadavers and live donors (10 were left and 2 were right kidneys). The mean duration of dialysis was 4.3 years. The mean follow-up time after transplantation was 4.5 months. None of the patients had died and no surgical complication and rejection were observed. The mean blood creatinine levels at the 1st week, 1st month and 3th mounth were 3.42, 1.65 and 1.68 mg/dl, respectively. The patient and graft survival rates were 100% for same periods. Discussion: With the developments in immunology, the organ transplantation has been the preferred method of treatment of end-stage renal insufficiency in recent years. Since the establishment of organ transplantation center in our university, 9 cadaveric donors have been brought in to our national system and 7 cadaveric and 5 living döner kidney transplantations have been performed. Also, they were discharged without any problem. The cadaveric and live donor organ transplantation program was started and successful results were obtained in a short time. Conclusion: In conclusion, we consider that to step about organ transplantation by establishing a center in a university hospital is efficient for providing cadaveric donor and living donor kidney transplantation.

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Organ transplantation , kidney transplantation , kidney failurure

Medical Journal Of Suleyman Demirel University

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