Genito‐femoral nerve entrapment: a complication of stapling the ureter during laparoscopic live donor nephrectomy

Sandford, Rebecca; Nicholson, Michael L.

doi:10.1093/ndt/16.10.2090

Cited by 7 publications

(9 citation statements)

References 5 publications

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“…Twelve studies described case series containing more than 20 laparoscopic donor nephrectomies without a control (level III) ( Table 3 )15, 16, 40–49. Seven case series with fewer than 20 laparoscopic nephrectomies50–56 and eight case reports57–64 were also identified (level III). Laparoscopic procedures described in level I–II studies were performed between February 1995 and May 2001.…”

Section: Resultsmentioning

confidence: 99%

“…Late complications included incisional hernia formation (2 per cent)21, 30 and laparoscopic‐site neuroma28, which occurred in less than 1 per cent of patients. Small bowel obstruction caused by internal hernia39, 57, 58, genitofemoral nerve entrapment59 and chylous ascites60 after laparoscopic donor nephrectomy have been described rarely in case series and case reports.…”

Section: Resultsmentioning

confidence: 99%

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Laparoscopic donor nephrectomy

Handschin¹,

Weber²,

Demartines³

et al. 2003

British Journal of Surgery

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Laparoscopic donor nephrectomy

Handschin¹,

Weber²,

Demartines³

et al. 2003

British Journal of Surgery

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“…He also described the risk of the development of end stage renal disease in living donors as Ôwell within, or lower than the risk expected in the general population.Õ Laparoscopic donor nephrectomy has also been associated with complications. Learning curve issues have included splenic, vascular, and ureteral complications, and isolated cases of a strangulated internal hernia and of a genitofemoral nerve entrapment have been described (28)(29)(30)(31)(32). Single center reports have described major complication rates as high as 6.8% and 17.1% (intra-and postoperative, respectively) (33) and as low as 2.6% (major) and 4.2% (minor) (34).…”

Section: Donor Safety Issuesmentioning

confidence: 99%

Living donor kidney transplantation in pediatric recipients

Shapiro

2006

Pediatric Transplantation

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Living donor kidney transplantation has increased in frequency in pediatric patients, accounting for 43% of cases performed between 1987 and 1991, and 52% of cases performed between 1987 and 2004 in North America. Patient survival has remained excellent over the years, and is currently over 96% at five years. Graft survival has improved over the years, and is currently over 95% at one year. Rejection rates have fallen over the years, and are currently <25% overall, with selected centers having very low rejection rates. The reasons for these improved outcomes are likely related to improvements in maintenance immunosuppression, which include a transition from cyclosporine to tacrolimus-based regimens, and from azathioprine to mycophenolate mofetil or sirolimus as adjunctive agents. Steroid withdrawal and steroid avoidance are beginning to be utilized by several centers, with excellent early outcomes. Finally, while there may be center effect/learning curve issues involved, the type of donor nephrectomy has recently been shown to influence early outcomes, particularly in very young recipients.

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“…13,14 Lee et al 14 reported equivalent outcomes with both laparoscopic and open techniques, in particular the requirement for blood transfusion. One of the cases of severe upper GI bleeding in our study occurred in a patient who had HALDN.…”

Section: Discussionmentioning

confidence: 99%

“…Even after orchidectomy it was not clear whether the testicular pain was caused by the right donor nephrectomy. However, Sanford and Nicholson 13 have described a case of tacking injury to the genitofemoral nerve during laparoscopic donor nephrectomy, resulting in pain in the iliac fossa and groin. The ureter lies in close proximity to the genitofemoral nerve as the nerve exits the middle portion of the psoas muscle.…”

Section: Discussionmentioning

confidence: 99%

Unusual Complications Following Living Donor Nephrectomy

Akoh

Rana

Stacey

2008

Dialysis & Transplantation

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BACKGROUNDThe aim of this study was to highlight unusual complications following living‐donor nephrectomy within a single center.METHODSBetween January 2003 and February 2008, 58 donor nephrectomies (52 open and 6 laparoscopic hand‐assisted) were performed. All donors were followed up at 6 weeks and then discharged to regular yearly visits with their designated nephrologists. All complications were entered prospectively into a database used for this analysis.RESULTSForty‐four (76%) had a left donor nephrectomy, whereas 14 (24%) had a right nephrectomy. There were 22 men and 34 women with a median age of 48 years (range 27–70 years). Average length of hospital stay of the donors was 5 days (median 4 days). Fifty donors (86%) had no complications; the complications seen in the remaining 8 (14%) were hemorrhage in 4 donors, testicular pain treated by orchidectomy in 1 donor, neuropathic pain in 1 donor, and lymphoma in 1 transplanted kidney.CONCLUSIONSIn addition to rigorous and careful assessment of potential donors, every effort must be made to reduce the risk of postoperative complications by adopting a careful surgical technique, ensuring a high level of vigilance, and early detection of complications—bearing in mind some of the unusual complications detailed in this report.

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Genito‐femoral nerve entrapment: a complication of stapling the ureter during laparoscopic live donor nephrectomy

Cited by 7 publications

References 5 publications

Laparoscopic donor nephrectomy

Laparoscopic donor nephrectomy

Living donor kidney transplantation in pediatric recipients

Unusual Complications Following Living Donor Nephrectomy

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