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Presenter: Carla, Ramirez Cabrera, Guatemala, Guatemala
Authors: Carla Ramirez Cabrera, Ranadall Lou, Javier Bolaños Bendfeldt, Rudolf García Gallont, Raúl Sosa Tejada, Erwin Hernández Diaz, Fernando Gonzáles Arrechea, Arnoldo López, Javier Alvizures, Edgar Reyes
Pediatric kidney transplant in Guatemala: 65 cases
Carla Ramirez Cabrera1, Ranadall Lou2, Javier Bolaños Bendfeldt1, Rudolf García Gallont2, Raúl Sosa Tejada1, Erwin Hernández Diaz1, Fernando Gonzáles Arrechea1, Arnoldo López1, Javier Alvizures1, Edgar Reyes2.
1Pediatric Surgery, Hospital Roosevelt, Guatemala, Guatemala; 2Nephrology, Hospital Roosevelt, Guatemala, Guatemala
PEDIATRIC KIDNEY TRANSPLANT IN GUATEMALA: 65 CASES
INTRODUCTION
The first pediatric kidney transplant in Guatemala was performed in 1989. In 2008 our Pediatric Nephrology Unit opened at Roosevelt Hospital, aimed to become the first integral Pediatric Nephrology Unit in the country, covering prevention, urologic preventive interventions, clinical nephrology, and RRT, transplantation included. To the present day, this Unit has performed 65 pediatric kidney transplants, and has formally introduced Laparoscopic Donor nephrectomy into a Transplant program in Guatemala. Kidney transplantation is the best alternative in the treatment of kidney failure in pediatric patients, underlining the importance of this program.
MATERIALS AND METHODS
We describe a retrospective review of all 65 patients that have received a kidney transplant in the Pediatric Nephrology Unit at Hospital Roosevelt from 2001 to present day; we report epidemiological data, surgical approach, immunosuppression, complications and follow up.
RESULTS AND DISCUSSION
All 65 patients are between 1-18 years old. 53% are in the age group between 11-15 years. Since 2008, when the Unit of Pediatric Nephrology was created, the number of patients that have been transplanted has increased, representing 93% from 2008 - 2015. 81.5% of the patients have received a kidney from a living related donor. From 2014-2015, 36.4% of the kidneys have been harvested laparoscopically.
CONCLUSIONS
In Guatemala, a third world country, we have worked to create and improve our Pediatric Nephrology Unit; since 2008 we have increased the number of kidney transplant cases which now strengthens our program, bringing new technologies to improve the outcomes of our patients, for example, the laparoscopic donor nephrectomy. Our main goal continues to be to provide the treatment necessary for our renal failure patients, offering them successful kidney transplants and improving their outcomes, quality and expectancy of life.
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