Renal allograft compartment syndrome: an underappreciated postoperative complication

Ball, Chad G.; Kirkpatrick, Andrew W.; Yılmaz, Serdar; Monroy, Mauricio; Nicolaou, Savvas; Salazar, Anastasio

doi:10.1016/j.amjsurg.2006.02.013

Cited by 44 publications

(62 citation statements)

References 26 publications

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“…2,3 It is also seen more often in transplants from deceased donors and male recipients. 7 The pathophysiology is similar to an abdominal compartment syndrome with decreased organ perfusion, which damages the renal parenchymal well before clinical signs are evident. 8,9 The risk factors for the development of APK are still not established.…”

Section: Discussionmentioning

confidence: 98%

“…We describe the use of surgical glue (TISSELL, Baxter Healthcare Corporation, CA, USA) to achieve haemostasis which can be easily applied and does not hamper with further follow up Ultrasound; where mesh can lead to an elevated resistive index 16 causing compression of renal parenchyma or main vessels. 17 On evaluation of the subcapsular haematoma, constant oozing is prompt from the renal parenchyma due to capsular stripping and tissue glue plays a significant in achieving adequate haemostasis.…”

Section: Discussionmentioning

confidence: 99%

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Post-biopsy renal allograft compartment syndrome: Addressing the problem, illustrated with a case report

Thiyagarajan

Bagul

Mohamed

et al. 2011

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Post-biopsy renal allograft compartment syndrome: Addressing the problem, illustrated with a case report

Thiyagarajan

Bagul

Mohamed

et al. 2011

International Journal of Surgery Case Reports

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“…In the immediate 13,14 Nonetheless, it is the most common immediate postsurgical complication requiring reoperation. If recognized early, urgent reoperation with placement of the kidney into the peritoneum will salvage the graft.…”

Section: Compartment Syndromementioning

confidence: 99%

Ultrasonographic Evaluation of the Renal Transplant

Rodgers¹,

Sereni²,

Horrow³

2014

Radiologic Clinics of North America

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“…Ball et al [11] adopted the subcutaneous positioning of transplanted kidney in 3 patients diagnosed with RACS, transplanted by transretroperitoneal way in the right iliac fossa. In 2 patients there was a significant difference in size compared to donors.…”

Section: Treatment Of Racsmentioning

confidence: 99%

“…Koss et al [27] describes the intraperitoneal positioning of previously transplanted kidney in the iliac fossa that caused a compartment syndrome due to excessive intraabdominal tension. Ball et al [11] reported intraperitoneal placement of the transplanted kidney as treatment of RACS in 8 patients. In both studies, there were no surgical complications and there was a restoration of function of the graft after the reintervention.…”

Section: Treatment Of Racsmentioning

confidence: 99%

Renal Allograft Compartment Syndrome: Is It Possible to Prevent?

Damiano

Maione

Maffongelli

et al. 2016

Transplantation Proceedings

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Renal allograft compartment syndrome (RACS) is a complication characterized by increased pressure over 15 to 20 mm Hg of the iliac fossa site of transplanted kidney that can lead to a reduction of the blood supply to the graft, resulting in organ ischemia. This study aims to evaluate, through a review of the literature, the incidence, detection, treatment, and possible prevention of RACS. The incidence of this complication, which appears generally in the immediate post-transplantation period, is currently approximately 1% to 2% and is underestimated because of poor nosography for the presence of symptoms common to other post-transplantation complications. Doppler ultrasound is indispensable to evaluate the graft function in the immediate postoperative period and in the following days. The onset of RACS involves a surgical decompression of the graft and the subsequent closure of the abdominal wall with tension-free technique. Several authors agree that only the immediate surgical decompression following an early diagnosis can ensure a recovery of the graft. Early detection of the RACS is the key to preventing the loss of the graft. It is desirable to prevent this syndrome by reducing the discrepancy in weight between donor and recipient by 17%. However the shortage of organs makes such a selection not easy; therefore, in cases at risk for RACS, a close instrumental and clinical monitoring of the patient during post-transplantation recovery is recommended, so a prompt surgical decompression can be performed if RACS is suspected.

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Renal allograft compartment syndrome: an underappreciated postoperative complication

Cited by 44 publications

References 26 publications

Post-biopsy renal allograft compartment syndrome: Addressing the problem, illustrated with a case report

Post-biopsy renal allograft compartment syndrome: Addressing the problem, illustrated with a case report

Ultrasonographic Evaluation of the Renal Transplant

Renal Allograft Compartment Syndrome: Is It Possible to Prevent?

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