Variable convalescence and therapy after cadaveric renal transplantation under cyclosporin A and steroids

Surg Gynecol Obstet. 1982 Jun;154(6):819-25.

Abstract

The postoperative convalescence period was analyzed for 42 consecutive patients who had cadaveric renal transplantation under therapy with cyclosporin A and steroids. Twenty-two of the patients underwent transplantation for the first time, and the other 20 had retransplantation. None of the recipients has died. With follow-up period of two to eight months, the survival rate of grafts is 96 per cent after first transplantation and 85 per cent after retransplantation. Immunosuppression with a standard regimen was used for all patients at the outset. Early convalescence was highly variable, often necessitating adjustments of cyclosporin A and steroid dosage to accommodate the possibilities of rejection or cyclosporin A nephrotoxicity, or both, simultaneously. Management problems were more frequent and complex in patients undergoing retransplantation. From the results, a classification of convalescence patterns was evolved, with recommendations about how standardized initial therapy should be adjusted if the renal graft does not function promptly or deteriorates later.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Blood Grouping and Crossmatching
  • Cadaver
  • Chemical and Drug Induced Liver Injury / etiology
  • Child
  • Cyclosporins / administration & dosage*
  • Cyclosporins / adverse effects
  • Female
  • Follow-Up Studies
  • Graft Survival / drug effects*
  • Humans
  • Hydrocortisone / administration & dosage
  • Kidney Transplantation*
  • Male
  • Middle Aged
  • Prednisone / administration & dosage*

Substances

  • Cyclosporins
  • Prednisone
  • Hydrocortisone