[Surgical complications after kidney transplantation]. / Kirurske komplikacije nakon transplantacije bubrega.

The authors' experience with surgical complications following kidney transplantation is presented. From 1973 till May 1990, 136 transplantations were performed, out of which 21 before and 117 after 1983. Surgical complications occurred in 20 patients, thus reaching the incidence of 14.5% which corresponds with the incidence reported by other institutions. The incidence of vascular complications was 5.0%, of urological 4.3%, of lymphatic 1.4%, of wound infections 2.2%, and of graft ruptures 1.4%. Urological and vascular complications made for 65% of all the surgical complications which in 40% resulted in the loss of the graft. Out of the total number of the lost grafts, surgical complications were responsible in 28.1%.

[Computerized tomography and ultrasound in the early diagnosis of brain damage]. / Kompjutorizirana tomografija I ultrazvuk u dijagnostici ranog ostecenja mozga.

Eighty-one neonates were evaluated clinically by ultrasound and/or CT with the aim of assessing diagnostic possibilities of both methods in the cases of pathomorphologic findings linked with perinatal risk factors and subsequent neurologic deficits. In perinatal at-risk infants (N = 11), premature infants (N = 6) and term infants (N = 5) ultrasound is a reliable diagnostic method in the detection and follow-up of intraventricular hemorrhage and perivascular leukomalacia in preterm infants, while for the diagnosis of hypoxic-ischemic lesions, especially focal cortico-subcortical changes in term infants, besides ultrasound it is necessary to perform CT. In perinatal infants (N = 50) with neurologic deficits at the age of 2-5 years, on CT scanning, atrophic changes were found in 50% of cases, while in 10% vascular lesions were observed, and a combination of atrophic and vascular lesions was found in 28% of the cases examined. In the group of infants (N = 20) with neurologic deficits (II and III trimenon) without risk factors, on CT scanning the pathomorphologic finding was identified as a vascular or atrophic lesion. In the authors' opinion, CT is the only objective method in the detection of the precise localization and evaluation of lesions in children with neurologic deficits after their first year of life.