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001-es BibID:BIBFORM105891
035-os BibID:(WOS)000911722700001 (Scopus)85141973908
Első szerző:Illésy Lóránt (sebész)
Cím:Ureteral Complications Requiring Intervention After Kidney Transplant : A Single-Center Experience / Illésy Lóránt, Kovács Dávid Ágoston, Fedor Roland, Zádori Gergely, Kanyári Zsolt, Asztalos László, Nemes Balázs
Dátum:2022
ISSN:0041-1345
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Transplantation Proceedings. - 54 : 9 (2022), p. 2578-2583. -
További szerzők:Kovács Dávid Ágoston (1982-) (sebész) Fedor Roland (1975-) (sebész) Zádori Gergely (1983-) (sebész) Kanyári Zsolt (1964-) (orvos) Asztalos László (1951-) (sebész) Nemes Balázs Áron (1969-) (sebész)
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2.

001-es BibID:BIBFORM091792
035-os BibID:(WoS)000668604400003 (Scopus)85101183627
Első szerző:Kanyári Zsolt (orvos)
Cím:Knowledge and Attitudes of Health Care Professionals and Laypeople in Relation to Brain Death Diagnosis and Organ Donation in Hungary : a Questionnaire Study / Zsolt Kanyári, Dóra Cservenyák, Béla Tankó, Balázs Nemes, Béla Fülesdi, Csilla Molnár
Dátum:2021
ISSN:0041-1345
Megjegyzések:Knowledge and Attitudes of Health Care Professionals and Laypeoplein Relation to Brain Death Diagnosis and Organ Donation in Hungary:A Questionnaire StudyZsolt Kany aria,D ora Cserveny akb,B ela Tank ob, Bal azs Nemesa,B ela F?ulesdib*, and Csilla Moln arbaDepartment of Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary; andbDepartment of Anesthesiology andIntensive Care, Faculty of Medicine, University of Debrecen, Debrecen, HungaryABSTRACTObjectives.The aim of the present work was to assess the knowledge and attitudes of differenthealth care workers and laypeople toward the donation and transplantation procedure.Subjects and methods.A survey consisting of questions regarding brain death diagnosis,legal organization or organ donation, and the transplantation procedure were sent to participants:56 intensive care unit (ICU) doctors, 76 ICU nurses, 188 sixth-year medical students, and 320general practitioners (GPs). Laypeople were also asked to complete the survey.Results.The majority of participants reported being aware of legal regulations for organ dona-tion in Hungary (88.5%). Roughly 25% of GPs and 60% of laypeople were unaware of the opt-out system effective in the country. Less than one-third of ICU physicians (26.9%) and nurses(34.7%) were able to list the organs that may be transplanted from a deceased donor; GPs(22.4%) and medical students (20%) performed even worse on this item. The willingness of ICUspecialists (57%) and ICU nurses (45%) to support donating their own organs was moderate.Conclusions.The results of this survey indicate a need for graduate and postgraduateeducation and regular teaching programs regarding organ donation and transplantation.More active use of modern media is proposed to improve public awareness and acceptanceof organ donation.
Tárgyszavak:Orvostudományok Klinikai orvostudományok esettanulmány
folyóiratcikk
Megjelenés:Transplantation Proceedings. - 53 : 5 (2021), p. 1402-1408. -
További szerzők:Cservenyák Dóra Tankó Béla (1972-) (aneszteziológus) Nemes Balázs Áron (1969-) (sebész) Fülesdi Béla (1961-) (aneszteziológus) Molnár Csilla (1962-) (aneszteziológus)
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3.

001-es BibID:BIBFORM079170
035-os BibID:(WoS)000500179300051 (Scopus)85065488320
Első szerző:Kovács Dávid Ágoston (sebész)
Cím:Surgical Treatment of Hyperparathyroidism After Kidney Transplant / D. Á. Kovács, R. Fedor, L. Asztalos, M. Andrási, R. P. Szabó, Zs. Kanyári, S. Barna, B. Nemes, F. Győry
Dátum:2019
ISSN:0041-1345
Megjegyzések: Chronic renal impairment is often associated with complex bone disorders. Improvement of secondary hyperparathyroidism (HPT) is expected after kidney transplant (KT) if the glomerular filtration rate is normalized. Patients and Methods There were 888 KTs performed between 1996 and 2017 at our department. A total of 558 general patients have been operated on for HPT during the same period. The 2 populations had a common part: out of the 558, a total of 69 (12.4%) were in end-stage renal failure when operated on because of secondary HPT. That also means that 7.8% of all KTs were associated with HPT. Retrospective, single-center analysis was performed using the patients' medical records. The aim of our study was to analyze the results of parathyroidectomies after KT. Results Parathyroid surgery was performed on 19 patients (2.14%) because of HPT after KT. The applied surgical technique was total parathyroidectomy with autotransplant in 6 cases, subtotal parathyroidectomy in 3 cases, and selective parathyroidectomy in 10 cases. In all cases, histology revealed benign disease. Complications were observed in 10 cases (52%); there were 6 cases of postoperative hypocalcaemia (31.58%), 1 case of transient laryngeal recurrent nerve paresis (5.26%), and 6 cases of recurrent HPT (31.58%). Summary The first step of HPT management is calcimimetic drug treatment. It is essential to prevent possible complications with regular laboratory monitoring. If the proper conservative therapy is refractory or severe in complications, surgery should be chosen. If the patient is already waiting for a KT, it is worth performing the parathyroid surgery before KT. Close collaboration with endocrinologists and nephrologists is needed to achieve successful therapy.
Tárgyszavak:Orvostudományok Klinikai orvostudományok konferenciacikk
folyóiratcikk
hyperparathyroidisim
kidney transplant
Megjelenés:Transplantation Proceedings. - 51 : 4 (2019), p. 1244-1247. -
További szerzők:Fedor Roland (1975-) (sebész) Asztalos László (1951-) (sebész) Andrási M. P. Szabó Réka (1979-) (orvos) Kanyári Zsolt (1964-) (orvos) Barna Sándor (1982-) (kutató orvos) Nemes Balázs Áron (1969-) (sebész) Győry Ferenc (1964-) (sebész)
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4.

001-es BibID:BIBFORM067492
035-os BibID:(WoS)000386317900075 (Scopus)84992323992
Első szerző:Szabó-Pap Marcell
Cím:Surgical Complications Following Kidney Transplantations : a Single-Center Study in Hungary / M. Szabo-Pap, G. Zadori, R. Fedor, L. Illesy, F. Toth, Z. Kanyari, D. A. Kovacs, B. Nemes
Dátum:2016
ISSN:0041-1345
Megjegyzések:ABSTRACTSurgical complications (SCs) are still high potential causes of graft loss. The incidence has ahuge amount of variations depending on many factors. Our aim was to study the postoperativetechnical complications following kidney transplantations (KTs) during a 5-yearperiod between 2011 and 2015. In the observed time frame there were 47 SCs occurring in32 (19.4%) patients of 165 KTs. Every complication was classified into 3 groups: vascular(11; 6.6%), urologic (16; 9.7%), and any others (20; 12.1%). The most common postoperativeSCs in our center were hemorrhage (14; 8.5%), urinary leakage (12; 7.2%), andrenal artery stenosis (6; 3.6%). Twenty-seven patients, 84% of those having had a SC,needed an intervention, mainly a surgical correction (28; 62%). Half of these interventions(21; 51%) were performed due to urologic reasons. As possible predicting factors, westudied the type of arterial and ureter anastomosis in relation to onset of vascular andurologic complications. There was no significant correlation. The same was true for anydonor and/or recipient demographic parameters. However, the presence of SCs impairedboth patient and graft survival. The cumulative 6-month, 1-, 3-, and 5-year patient survivalrates were 97% versus 99%, 93% versus 99%, 84% versus 97%, and 84% versus 97% forpatients with/without (w/wo) a SC, respectively (P ? .028). The cumulative 6-month, 1-, 3-,and 5-year graft survival rates were 81% versus 96%, 77% versus 94%, 68% versus 86%,and 54% versus 86% for the same 2 groups, respectively (P ? .003).
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
kidney
transplantation
study
Hungary
complications
Megjelenés:Transplantation Proceedings. - 48 : 7 (2016), p. 2548-2551. -
További szerzők:Zádori Gergely (1983-) (sebész) Fedor Roland (1975-) (sebész) Illésy Lóránt (1991-) (sebész) Tóth Fruzsina Kanyári Zsolt (1964-) (orvos) Kovács Dávid Ágoston (1982-) (sebész) Nemes Balázs Áron (1969-) (sebész)
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5.

001-es BibID:BIBFORM067527
035-os BibID:(WoS)000386317900076 (Scopus)84992402727
Első szerző:Tóth Fruzsina
Cím:A Single-center Experience of Allograft Nephrectomies Following Kidney Transplantation / F. Toth, G. Zadori, R. Fedor, L. Illesy, M. Szabo-Pap, Z. Kanyari, D. A. Kovacs, L. Asztalos, B. Nemes
Dátum:2016
ISSN:0041-1345
Megjegyzések:AbstractIntroductionApproximately 10% of renal allografts fail during the first year after kidney transplantation (KT) and 3%?5% thereafter yearly. The indication and timing of allograft nephrectomy (AN) is still uncertain in some cases. The aim of this study was to reveal the ratio, etiology, and complications of AN at our center.Material and MethodsThis is a retrospective study of all patients who underwent KT at our center between January 1, 2004 and December 31, 2014. We analysed the frequency, indications, timing, and complications of ANs. Also early and late ANs were compared.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
experience
allograft
nephrectomie
kidney
transplant
Megjelenés:Transplantation Proceedings. - 48 : 7 (2016), p. 2552-2554. -
További szerzők:Zádori Gergely (1983-) (sebész) Fedor Roland (1975-) (sebész) Illésy Lóránt (1991-) (sebész) Szabó-Pap Marcell Kanyári Zsolt (1964-) (orvos) Kovács Dávid Ágoston (1982-) (sebész) Asztalos László (1951-) (sebész) Nemes Balázs Áron (1969-) (sebész)
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6.

001-es BibID:BIBFORM064139
Első szerző:Zádori Gergely (sebész)
Cím:Results of Expanded-Criteria Donor Kidneys: A Single-Center Experience in Hungary / G. Zádori, D. Á. Kovács, R. Fedor, Z. Kanyári, L. Zsom, L. Asztalos, B. Nemes
Dátum:2015
ISSN:0041-1345
Megjegyzések:Background. To ease organ shortage, many transplant centers accept kidneys fromexpanded-criteria donors (ECDs). Our aim was to analyze the results of ECD grafts in ourcenter.Methods. Data on cadaveric donors were retrospectively analyzed between January 2011and September 2014. Definition of ECD was: (1) donor age 60 years, (2) donor age 50 to59 years, and (3) the presence of 2 among the following criteria: hypertension, serumcreatinine >1.5 mg/dL, or death from cerebrovascular accident. Standard-criteria donors(SCDs) were those who did not meet the criteria for an ECD.Results. During the observation period, 215 cadaveric donors were reported within our region,and 14 kidneys were offered to our center from Eurotransplant. Ninety-one (40%) amongthe reported donors were ECDs and 123 (54%) were SCDs. The rates of delayed graft function(DGF) and acute rejection (ARE) were not influenced by transplantation of an ECD graft. Thecumulative patient and graft survival rates for ECDs were comparable with those of patientswho received an optimal graft.Conclusions. ECD grafts can be transplanted safely, without the increased risk of DGF,ARE, and inferior patient and graft survival, in the case of careful patient allocation, andwith the use of induction therapy.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Transplantation Proceedings. - 47 : 7 (2015), p. 2189-2191. -
További szerzők:Kovács Dávid Ágoston (1982-) (sebész) Fedor Roland (1975-) (sebész) Kanyári Zsolt (1964-) (orvos) Zsom Lajos (1968-) (belgyógyász, nefrológus) Asztalos László (1951-) (sebész) Nemes Balázs Áron (1969-) (sebész)
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