Diagnostics and Therapy of Lymphoceles After Kidney Transplantation

Management of Lymphocele Formation Following Kidney Transplantation: A Single Centre Experience

“…2 Laparoscopic marsupialisation is considered by some surgeons as the first line treatment of lymphoceles, 2,3 while others have suggested initial percutaneous aspiration under ultrasonographic guidance, followed by sclerotherapy to prevent reaccumulation of fluid. [4][5][6] Recurrence risk of lymphocele has been shown to reduce (range 13%-33%) [7][8][9] with percutaneous aspiration as has additional sclerotherapy (range 6%-25%). 2,4,7 Doxycycline and ethanol are common sclerosing agents used in sclerotherapy.…”

“…2,4,7 Doxycycline and ethanol are common sclerosing agents used in sclerotherapy. 5 Other sclerosing agents which can be used are povidone-iodine, talc and bleomycin. Some authors suggest that sclerosing agents can have toxic effects on graft functions and may even cause graft loss while some consider them generally safe and highly successful.…”

Laparoscopic Fenestration of Posttransplant Lymphoceles: A Report of Three Cases

“…Previous studies have reported different frequencies of posttransplant lymphoceles within the 0.6-20.0 % range [8,9]. Symptoms that suggest lymphoceles are pain in the area of the pelvis or abdomen, caused by a pelvic mass that can be seen or palpated.…”

Surgical Complications of Live Related Renal Transplantation

“…If recurrence occurs a sclerotherapy with povidone -iodine 5% ethanol or antibiotics can be performed. 30,31 Very large lymphoceles greater than 500 ml the laparoscopic lymphocele fenestration (Marsupialization) is the treatment of choice in many centers. In recurrent cases or when the condition is not favorable for laparoscopy the open surgical peritoneocystostomy with an oval window of at least 2.5 × 5.0 cm in width should be performed.…”