Ultrasonically guided percutaneous aspiration of lymphoceles following renal transplantation: A diagnostic and therapeutic method

Abstract

Percutaneous aspirations of perirenal collections under ultrasonographic control is a safe and simple therapeutic and diagnostic procedure in patients who have developed lymphoceles after renal transplantation. The diagnostic and therapeutic yield is far superior to any other method, short of surgical exploration. We encountered no complications in our cases. The technique is described in detail.

Laparoscopic treatment of lymphoceles following kidney transplantation by intraperitoneal fenestration and omentoplasty

“…Several therapeutic methods, ranging from percutaneous drainage to surgical operation, have been suggested: their results vary. Accordingly, echo-or CT-guided percutaneous puncture has now been abandoned because of the high incidence of recurrence after fluid aspiration and the risk of bleeding and infection [18,20]. Using the biochemical analysis of the content, one can differentiate between lymphocele and urine collection.…”

Laparoscopic intraperitoneal drainage of lymphocele after renal transplantation

“…Needle aspiration may be performed as the first step in the treatment of these lymphoceles, especially when used as a diagnostic modality [4]. However, it is not recommended for the management of large and symptomatic lymphoceles since it is associated with a high recurrence rate as well as possible infectious, and haemorrhagic complications [5], Instillation of povidone-iodine-solution as a sclerosing agent is described but the success rate is rather questionable [6].…”

Ultrasound-guided genitourinary interventions: principles and techniques

“…US guidance is frequently used to aspirate fluid from renal cysts [ 3 - 5 ], pelvic lymphoceles [ 6 , 7 ], adnexa cysts [ 8 , 9 ], and pelvic abscesses [ 10 , 11 ]. Percutaneous drainage of this kind is an appropriate management strategy for such diseases, because the technique can completely drain the infected fluid via internal catheterization.…”