Iatrogenic Ureteral Injury During Incisional Hernia Repair in a Kidney Recipient

Abstract

Incisional hernia is not a rare complication in kidney allograft recipients, due to prolonged dialysis, immunosuppressive drugs, especially, corticosteroids, and high prevalence of diabetes mellitus. Although the use of immunosuppressive drugs increases the risk of infection with synthetic materials, using mesh to prevent hernia recurrence in patients with multiple predisposing factors is safe and necessary. Repeated surgeries cause pathological distortion of anatomy which prevents the intraoperative visibility of the ureter and increases the risk of injury. In the present case, we report a very rare ureteric injury in a patient who underwent incisional hernia repair with propylene mesh after renal transplantation.