INDICATIONS AND OUTCOMES OF NEPHRECTOMY IN AYDER COMPREHENSIVE SPECIALIZED AND MEKELLE HOSPITALS, NORTHERN ETHIOPIA: A 5 YEAR EXPERIENCE

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  • Submited: January 23, 2018
  • Published: December 26, 2018

Abstract

Background: The introduction of nephrectomy and subsequent surgical interventions for renal diseases provided clinical information and histopathological insight that form the basis of current concepts regarding renal diseases.

Objective: To describe the indications and outcomes of nephrectomy in upper urinary tract lesions including tumors

 

Patients and Methods: This is a retrospective study of all patients who underwent nephrectomy in Ayder comprehensive specialized(ACSH) and Mekelle hospitals during a five-year study period (January 1,2013 to December 31,2017). Relevant information was retrieved from case notes and analyzed.

 

Results: There were 106 patients who underwent nephrectomy in Ayder and Mekelle hospitals. The age ranged from 1-85 years with slight male preponderance. Most 78(73.6%) were carried out for benign conditions. Majority 53(50%) for non-excreting kidneys due to stone diseases, followed by PUJ obstruction 15(14.2%), benign renal masses 3(2.8%) and renovascular hypertension 3(2.8%). Twenty-eight (18.8%) patients had nephrectomy for malignant renal diseases, mainly adenocarcinoma and Wilm’s tumor accounting for 20(18.8%) and 6(5.6%), respectively. The overall complication rate was 42(39.6%) which was higher in those patients operated for renal neoplasms, the commonest being postoperative bleeding that required transfusion 16(15.1%). There was one death (0.9%).

Conclusion: In this study, the rate of nephrectomy for non-excreting kidneys due to stone disease appeared to be higher, mostly affecting the younger age groups. Hence, early intervention with effective preventive and organ sparing therapy measures can reduce most of the preventable benign conditions for nephrectomy.

Key words: Nephrectomy, indication, outcome, Mekelle

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How to Cite
Hagos, M. (2018). INDICATIONS AND OUTCOMES OF NEPHRECTOMY IN AYDER COMPREHENSIVE SPECIALIZED AND MEKELLE HOSPITALS, NORTHERN ETHIOPIA: A 5 YEAR EXPERIENCE. Ethiopian Medical Journal, 57(1). Retrieved from https://emjema.org/index.php/EMJ/article/view/911

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