Zavgorodny S. Surgical aspects of terminal kidney insufficiency treatment.

Українська версія

Thesis for the degree of Doctor of Science (DSc)

State registration number

0504U000623

Applicant for

Specialization

  • 14.01.03 - Хірургія

26-10-2004

Specialized Academic Board

Д 17.600.01

Essay

Primal nephrectomy of polycystosis changed kidneys in such patients decreases risks of septical complications and increases the termine of allograft functioning. 4,7% of patients getting chronically haemodyalisis suffer of secondary hyperparathyroidism, which might be surgically cured. Subtotal hyperparathyroidectomy results in gradual regression of clinical and x-ray symptoms of hyperparathyroidism and normalization of serum Ca and P. Possibility of transplantation in patients with ureic heart tamponation is proved. It's determined, that spontaneous allograft breakage needs transplantectomy only in kidney vein thrombosis and association of acute rejection III and canal necrosis. It includes pre-transplantation preparation, transplantation and surgical correction of complications in post transplantation period. The program helped to reach 77,5% survival of allograft visa 58,2% in control group (p<0,05) during 1 year and 64,5% visa 30,8% during 5 years.

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