Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant

Sabagh, Mohammadsadegh; Mohammadi, Sara; Ramouz, Ali; Khajeh, Elias; Ghamarnejad, Omid; Morath, Christian; Mieth, Markus; Kulu, Yakup; Zeier, Martin; Mehrabi, Arianeb; Golriz, Mohammad

doi:10.3390/jcm10214858

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…Lymphoceles diagnosed during the first 6 months of follow-up after KTx were included in this study. Lymphocele formation after KTx was defined based on the validated definition and severity grading system proposed by Mehrabi et al [ 14 , 15 ]. Lymphoceles were divided into three severity groups, A, B, and C, based on the management plan [ 14 ].…”

Section: Methodsmentioning

confidence: 99%

“…In addition, peritoneal fenestration during KTx as a preventive method has been shown to decrease the incidence of lymphoceles in one RCT and a few retrospective studies [ 9 , 11 , 12 , 13 ]. However, it is still unclear how effective this preventive fenestration is in reducing the different types of lymphocele based on the new severity grading consensus [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation

Golriz

Sabagh

Emami

et al. 2021

JCM

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Lymphocele is a common complication following kidney transplantation (KTx). We aimed to evaluate the preventive effect of peritoneal fenestration during KTx in reducing lymphocele. From January 2001, the data of all KTx were prospectively gathered in our digital data bank. From 2008, preventive peritoneal fenestration was performed as a routine procedure for all patients with KTx. Between 2001 and 2008, 579 KTx were performed without preventive peritoneal fenestration. To compare the results between with and without peritoneal fenestration, the same number of patients after 2008 (579 patients) was included in this study. The pre-, intra-, and postoperative data of the patients in these two groups were analyzed and compared, especially regarding the postoperative different types of lymphocele formation. The mean recipient age was 52.6 ± 13.8, and 33.7% of the patients were female. Type C lymphocele was significantly lower in the group with preventive fenestration (5.3% vs. 8.8%, p = 0.014 for 31/579 vs. 51/579). Peritoneal dialysis and implantation of the kidney in the left fossa were independently associated with a higher rate of type C lymphocele (OR 2.842, 95% CI 1.354–5.967, p = 0.006 and OR 3.614, 95% CI 1.215–10.747, p = 0.021, respectively). The results of this study showed that intraoperative preventive peritoneal fenestration could significantly reduce type C lymphocele.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation

Golriz

Sabagh

Emami

et al. 2021

JCM

Self Cite

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“…However, this also implies a lower capacity of the organism to fight infectious agents [ 4 , 5 ]. In fact, infections are considered one of the most common causes of graft failure and death after transplant [ 6 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the correlation between oral infections and systemic complications in kidney transplant patients: a retrospective pilot study

et al. 2022

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Background Data regarding the efficacy of the dental clearance required prior to kidney transplantation (KT) for preventing post-transplant complications is controversial. The aim of this retrospective study was to investigate a possible correlation between any untreated oral infectious foci and the onset of systemic complications in KT patients. Methods Patients scheduled for regular check-ups during the post-transplant period were visited at the C.I.R. Dental School in Turin, Italy. Patients were asked to bring orthopantomography (OPT) acquired prior to transplantation to compare the possible presence of untreated infectious foci at the time of transplantation with the time of their post-transplant visit. Patients were then divided, according to the evaluation of the OPT obtained prior to the transplantation, into two groups according to their dental status prior to the transplant. “Group Infected” was comprised of patients with no dental clearance, and “Group Clear” included patients with dental clearance. The medical records were then retrospectively reviewed for the evaluation of any systemic complications that occurred after transplantation. The following medical complications were considered: fever, pneumonia, urinary tract infections, systemic infections, kidney rejection, and death. Complications were divided in two groups: early complications, which occurred within 100 days of transplantation, and late complications, which occurred more than 100 days after transplantation. Results A total of 77 patients were enrolled in the study. Group Infected was composed of 19 subjects (25%), while Group Clear was composed of 58 patients (75%). In Group Infected, 13 (68%) patients developed complications within 100 days of transplantation, and 11 (58%) did so after 100 days. In Group Clear, 31 (53%) patients had complications within 100 days of the transplant, and 23 (40%) did after 100 days. Patients in Group Infected had a statistically significant increase in episodes of fever (p = 0.03), compared to Group Clear, with a higher relative risk (RR) of 3.66 in the first 100 days after transplantation. Conclusion Within the limitations of the present retrospective pilot study, and based on the results, a correlation between the absence of dental clearance prior to KT and a higher RR of developing a fever within the first 100 days post transplantation was highlighted. The present results encourage doctors to continue research on the topic, which remains controversial. Further prospective studies are required to confirm the results of the present study.

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Methods to prevent lymphocele after kidney transplantation: Seeking the optimal technique for avoiding a preventable complication

Sabagh,

Sabetkish,

Fakour

et al. 2024

Transplantation Reviews

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Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant

Cited by 3 publications

References 22 publications

Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation

Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation

Evaluation of the correlation between oral infections and systemic complications in kidney transplant patients: a retrospective pilot study

Methods to prevent lymphocele after kidney transplantation: Seeking the optimal technique for avoiding a preventable complication

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