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Abstract
THE OUTCOME FOR ANASTOMOSIS OF RENAL ARTERY TO EXTERNAL ILIAC ARTERY AND INTERNAL ILIAC ARTERY IN KIDNEY TRANSPLANT PATIENTS
*Atheer Hameed Aziz, Anas Falah Hassan and Adil Hefdhi Alsoufi
ABSTRACT
Background: This study compares renal artery end-to-side and end-to-end anastomoses to external and internaliliac arteries. This research compares both methods to determine their effectiveness. The Baghdad medical citykidney transplant center conducted this retrospective analysis. The aim of study is to compare renal artery end-tosideand end-to-end anastomosis to the external and internal iliac arteries in kidney transplant patients forischemia time, post-operative renal function parameters, lymphocele formation, erectile dysfunction, and posttransplanthypertension. Method: In a study of 60 kidney transplant recipients, patients were divided into twogroups: 30 underwent end-to-end renal artery to internal iliac artery anastomosis, and 30 had end-to-sideanastomosis with the external iliac artery. Key parameters evaluated included ischemia times, post-operativehypertension, lymphocele formation, erectile dysfunction, and urea creatinine levels on day 7 and at 1, 3, and 6months’ post-surgery. Results: In a comparison of two groups of kidney transplant recipients, it was observed thatischemia times were marginally longer in patients with end-to-end anastomosis to the internal iliac artery. Thetime taken for arterial anastomosis was similar in both groups, though slightly extended in the internal iliac arterygroup. Erectile dysfunction was more prevalent in patients with end-to-end anastomosis (14 patients) compared tothose with end-to-side anastomosis to the external iliac artery (8 patients). However, post-transplant hypertension,lymphocele formation, renal function, and hospital stay were similar in both groups. Conclusion: After a kidneytransplant, patients with renal artery end-to-side anastomosis to the external iliac artery have decreased erectiledysfunction. Patients with renal artery anastomosis to the internal iliac artery had somewhat longer ischemiatimes.
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