Relation Between Wound Complication and Lymphocele After Kidney Transplantation: A Monocentric Study

Peluso, G.; Incollingo, Paola; Campanile, Silvia; Menkulazi, Marsela; Scotti, Alessandro; Tammaro, Vincenzo; Calogero, Armando; Dodaro, Concetta Anna; Carlomagno, Nicola; Santangelo, Michele

doi:10.1016/j.transproceed.2020.02.053

Cited by 5 publications

(11 citation statements)

References 22 publications

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“…Obesity is a well‐known risk factor for IH in both general and transplant populations because it increases mechanical stress to the abdominal incision by increasing intra‐abdominal pressure, 7,8,32,41,42 increases operative time and tissue ischemia, 3 and increases the risk of lymphocele development, which may cause further mechanical stress on the parietal incision, with delayed wound healing 4,8,9,47,48 . Moreover, obesity may also increase the risk of surgical site infection (SSI), which is a well‐known cause of incisional hernia 8 .…”

Section: Risk Factors For Abdominal Wall Complications After Kidney Transplantationmentioning

confidence: 99%

“…There is no consensus on the optimal therapeutic strategy for patients with IH, 9,10,82 with the alternatives ranging from conservative treatments (weight loss, abdominal binder) for patients unsuitable for surgery 110 to surgical treatment 111 …”

Section: Treatment Of Abdominal Wall Complicationsmentioning

confidence: 99%

“…In kidney transplant recipients, the use of biological mesh is associated with a lower risk of recurrence compared to IH repair without a mesh 118 or with synthetic mesh, 112 thanks to a better integration into the abdominal wall, consequently minimizing the risk of bacterial colonization and other complications, 9 and to a better vascularization, thus reducing the risk of infectious wound complications 95 ; indeed, it has been demonstrated that the use of synthetic mesh in kidney transplant recipients causes an increased risk of recurrence, infections and further surgery 112 . In the study of Gowda et al., 119 87 kidney and kidney‐pancreas recipients underwent IH repair.…”

Section: Treatment Of Abdominal Wall Complicationsmentioning

confidence: 99%

“…The overall incidence of abdominal wound complications in transplant recipients is 7.7-21%, 3,[5][6][7][8][9][10][11][12][13] most of which are superficial wound dehiscence.…”

Section: Introductionmentioning

confidence: 99%

“…24,25 Risk factors for IH are immunosuppressive therapy, diabetes, obesity, and postoperative wound infection, which are usually present in various combinations in kidney transplant recipients. 23,26 As a consequence, kidney transplant recipients are expected to have an increased risk of developing an IH due to immunosuppressive therapy and the increased risk of postoperative infections; however, surprisingly, the incidence of IH in renal transplant recipients is remarkably lower than that in the general population, ranging from 1.1% to 18%, [5][6][7][8][9][10]28 with an overall risk ranging between 3.2% 26 and 7% 29 at 4.5 years after transplantation, with a recurrence rate ranging from 0% to 20% in the case of mesh repair. [29][30][31] In their review, Smith et al 8 found an incidence of IH of 2.5%, 4.9%, and 7.0% at 1, 5, and 10 years after transplantation, respectively.…”

Section: Introductionmentioning

confidence: 99%

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Abdominal wall complications after kidney transplantation: A clinical review

Gioco

Sanfilippo

Corona

et al. 2021

Clinical Transplantation

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Introduction Abdominal wall complications are common after kidney transplantation, and although they have a minor impact on patient and graft survival, they increase the patient's morbidity and may have an impact on quality of life. Abdominal wall complications have an overall incidence of 7.7–21%. Methods This review will explore the natural history of abdominal wall complications in the kidney transplant setting, with a special focus on wound dehiscence and incisional herni, with a particular emphasis on risk factors, clinical characteristics, and treatment. Results Many patient‐related risk factors have been suggested, including older age, obesity, and smoking, but kidney transplant recipients have an additional risk related to the use of immunosuppression. Wound dehiscence usually does not require surgical intervention. However, for deep dehiscence involving the fascial layer with concomitant infection, surgical treatment and/or negative pressure wound therapy may be required. Conclusions Incisional hernia (IH) may affect 1.1–18% of kidney transplant recipients. Most patients require surgical treatment, either open or laparoscopic. Mesh repair is considered the gold standard for the treatment of IH, since it is associated with a low rate of postoperative complications and an acceptable rate of recurrence. Biologic mesh could be an attractive alternative in patients with graft exposition or infection.

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Section: Risk Factors For Abdominal Wall Complications After Kidney Transplantationmentioning

confidence: 99%

Section: Treatment Of Abdominal Wall Complicationsmentioning

confidence: 99%

Section: Treatment Of Abdominal Wall Complicationsmentioning

confidence: 99%

“…The overall incidence of abdominal wound complications in transplant recipients is 7.7-21%, 3,[5][6][7][8][9][10][11][12][13] most of which are superficial wound dehiscence.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Abdominal wall complications after kidney transplantation: A clinical review

Gioco

Sanfilippo

Corona

et al. 2021

Clinical Transplantation

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Surgical Wound Dehiscence in Kidney Transplantation: Risk Factors and Impact on Graft Survival

Alonso

Villanego

Vigara

et al. 2022

Transplantation Proceedings

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[Retracted] Outcomes of Renal Stone Surgery Performed Either as Predonation or Ex Vivo Bench Procedure in Renal Grafts from Living Donors: A Systematic Review

Longo

Calogero

Creta

et al. 2020

BioMed Research International

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Aims. We aimed to summarize available evidence about intraoperative and postoperative donors’ and recipients’ outcomes following stone surgery in renal grafts from living donors performed either before donation or as ex vivo bench surgery at the time of living-donor nephrectomy. Methods. A systematic review of PubMed, ISI Web of Knowledge, and Scopus databases was performed in September 2020. We included full papers that met the following criteria: original research, English language, human studies, and describing the results of stone surgery in renal grafts from living donors performed either before transplantation or as ex vivo bench surgery. Results. We identified 11 studies involving 106 patients aged between 22 and 72 years. Predonation and bench stone surgery was performed in 9 (8.5%) and 96 (90.6%) patients, respectively. Predonation stone surgery involved extracorporeal shock wave lithotripsy, retrograde intrarenal surgery, and percutaneous nephrolithotomy in 8, 1, and 1 patient, respectively. The overall success rate of predonation stone surgery was 78%, and the complication rate was 0%. Bench stone surgery involved ureteroscopy, pyelolithotomy, or a combination of both in 79 (82.3%), 10 (10.4%), and 7 (7.3%) cases, respectively, with an overall success rate of 95.8% and an overall complication rate of 9.37%. Conclusions. Predonation and bench stone surgery in grafts from living donors represents efficacious and safe procedures. Further studies on wider series with a longer follow-up are required.

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Relation Between Wound Complication and Lymphocele After Kidney Transplantation: A Monocentric Study

Cited by 5 publications

References 22 publications

Abdominal wall complications after kidney transplantation: A clinical review

Abdominal wall complications after kidney transplantation: A clinical review

Surgical Wound Dehiscence in Kidney Transplantation: Risk Factors and Impact on Graft Survival

[Retracted] Outcomes of Renal Stone Surgery Performed Either as Predonation or Ex Vivo Bench Procedure in Renal Grafts from Living Donors: A Systematic Review

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