Perioperative predictors of postoperative short-term morbidity to donor after donor nephrectomy for renal transplantation

Introduction: Transplantation has been established as a superior mode of renal replacement therapy now. The demand for renal transplantation exceeds the available organs by far and this shortage led to an increase of renal transplantations from living donors. In this context, we did this study to find out perioperative predictors of postoperative short-term morbidity to donor after donor nephrectomy for renal transplantation. Patients and Methods: This was a retrospective study done in a urology tertiary care center from January 1, 2015, to December 31, 2019, among patients who underwent donor nephrectomy for renal transplantation. The sample size was 202. Data were collected using a pro forma and the same were analyzed by appropriate statistical methods using SPSS software. Results: Perioperative factors correlated to paralytic ileus on Pearson's correlation analysis were body mass index and right-sided donor nephrectomy. However, no perioperative factor was found to be predictive of paralytic ileus on regression analysis. Preoperative pyuria and postoperative total white blood cell count were correlated as well as predictive of wound infection. Conclusion: This study shows perioperative predictive factors related to postoperative short-term morbidity to donor and different grades and types of postoperative morbidity among donors after donor nephrectomy in renal transplantation within the first 6 months of surgery.