The Impact of Open Mesh Repair of Inguinal Herniae on Renal Transplantation

Weale, Andrew R.; Baynham, S; Pentlow, A.; Pentlow, B. D.

doi:10.1097/01.tp.0000284728.21576.9d

Cited by 7 publications

(4 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar findings were encountered in patients undergoing an open mesh-plug repair before transplantation. Weale et al 28 reported surgical technical difficulties in 4 patients who underwent kidney transplantation on the same side of previous mesh-plug hernia repairs because of adherence of surrounding structures to the mesh and fixation of the cord. Ortiz et al 29 reported ureteral necrosis in a kidney transplant recipient with a previous mesh-plug hernia repair.…”

Section: Discussionmentioning

confidence: 99%

First Case Report of Acute Renal Failure After Mesh-Plug Inguinal Hernia Repair in a Kidney Transplant Recipient

Veroux¹,

Ardita

Zerbo³

et al. 2016

Medicine

View full text Add to dashboard Cite

Acute renal failure due to ureter compression after a mesh-plug inguinal repair in a kidney transplant recipient has not been previously reported to our knowledge. A 62-year-old man, who successfully underwent kidney transplantation from a deceased donor 6 years earlier, was admitted for elective repair of a direct inguinal hernia. The patient underwent an open mesh-plug repair of the inguinal hernia with placement of a plug in the preperitoneal space. We did not observe the transplanted ureter and bladder during dissection of the inguinal canal. Immediately after surgery, the patient became anuric, and a graft sonography demonstrated massive hydronephrosis. The serum creatinine level increased rapidly, and the patient underwent an emergency reoperation 8 hours later. During surgery, we did not identify the ureter but, immediately after plug removal, urine output increased progressively. We completed the hernia repair using the standard technique, without plug interposition, and the postoperative course was uneventful with complete resolution of graft dysfunction 3 days later.Furthermore, we reviewed the clinical features of complications related to inguinal hernia surgery. An increased risk of urological complications was reported recently in patients with a previous prosthetic hernia repair undergoing kidney transplantation, mainly due to the mesh adhesion to surrounding structures, making the extraperitoneal dissection during the transplant surgery very challenging. Moreover, older male kidney transplant recipients undergoing an inguinal hernia repair may be at higher risk of graft dysfunction due to inguinal herniation of a transplanted ureter.Mesh-plug inguinal hernia repair is a safe surgical technique, but this unique case suggests that kidney transplant recipients with inguinal hernia may be at higher risk of serious urological complications. Surgeons must be aware of the graft and ureter position before proceeding with hernia repair. A prompt diagnosis with graft sonography and abdominal computed tomography scan and emergency surgery may avoid the need for nephrostomy and may resolve graft dysfunction more rapidly.

show abstract

Section: Discussionmentioning

confidence: 99%

First Case Report of Acute Renal Failure After Mesh-Plug Inguinal Hernia Repair in a Kidney Transplant Recipient

Veroux¹,

Ardita

Zerbo³

et al. 2016

Medicine

View full text Add to dashboard Cite

show abstract

“…Hernias are common and are diagnosed more frequently in patients undergoing continuous ambulatory peritoneal dialysis [1] . Renal transplant patients often have a previous history of inguinal hernia repairs.…”

Section: Discussionmentioning

confidence: 99%

“…The Lichtenstein herniorrhaphy has greatly reduced the risk of recurrence of inguinal hernias [4] , [5] . The use of mesh plugs has been advocated for decades and has recently achieved acceptance as an appropriate method of hernia repair [1] .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Obstructive uropathy after inguinal herniorrhaphy with a mesh in a renal transplant patient

Park

Hwang

Jeong

et al. 2013

Kidney Research and Clinical Practice

View full text Add to dashboard Cite

A 67-year-old male renal transplant patient presented with a right inguinal bulging mass, and was diagnosed with a right indirect inguinal hernia. The day following inguinal herniorrhaphy, serum creatinine became elevated. The patient was oliguric and had abdominal pain on the first day after inguinal herniorrhaphy with a mesh. We diagnosed him with acute renal failure and subsequently performed acute hemodialysis. The kidney computed tomography showed hydronephroureter, with distal ureter obstruction. With urgent percutaneous nephrostomy, we were able to relieve the obstructive uropathy with distal ureteral stenosis. Subsequently, hernia repair was performed with removal of the mesh, followed by the antegrade ureteral stent insertion. Renal function was recovered after ureteral stent insertion. This case shows that acute renal failure can occur due to ureteral obstruction, complicated by an inguinal hernia repair, and this can be successfully treated with percutaneous nephrostomy and inguinal hernia repair with mesh removal.

show abstract

Non-mesh inguinal hernia repair with early resumption of peritoneal dialysis in patients on continuous ambulatory peritoneal dialysis

Hsieh,

Lin,

Huang

2024

Hernia

View full text Add to dashboard Cite

The Impact of Open Mesh Repair of Inguinal Herniae on Renal Transplantation

Cited by 7 publications

References 4 publications

First Case Report of Acute Renal Failure After Mesh-Plug Inguinal Hernia Repair in a Kidney Transplant Recipient

First Case Report of Acute Renal Failure After Mesh-Plug Inguinal Hernia Repair in a Kidney Transplant Recipient

Obstructive uropathy after inguinal herniorrhaphy with a mesh in a renal transplant patient

Non-mesh inguinal hernia repair with early resumption of peritoneal dialysis in patients on continuous ambulatory peritoneal dialysis

Contact Info

Product

Resources

About