Al Doori, Y., Abbas, K., Al-Souf, A. (2023). Post Kidney Transplant Lymphoceles: Meticulous Ligation of Lymphatics Reduces Incidence in Comparison with Electrocautery Utilization. Alustath, 22(2), 117-121. doi: 10.52573/ipmj.2023.180442
Yasir Amer Al Doori; Kanaan Mahdi Abbas; Adil Hefdhi Al-Souf. "Post Kidney Transplant Lymphoceles: Meticulous Ligation of Lymphatics Reduces Incidence in Comparison with Electrocautery Utilization". Alustath, 22, 2, 2023, 117-121. doi: 10.52573/ipmj.2023.180442
Al Doori, Y., Abbas, K., Al-Souf, A. (2023). 'Post Kidney Transplant Lymphoceles: Meticulous Ligation of Lymphatics Reduces Incidence in Comparison with Electrocautery Utilization', Alustath, 22(2), pp. 117-121. doi: 10.52573/ipmj.2023.180442
Al Doori, Y., Abbas, K., Al-Souf, A. Post Kidney Transplant Lymphoceles: Meticulous Ligation of Lymphatics Reduces Incidence in Comparison with Electrocautery Utilization. Alustath, 2023; 22(2): 117-121. doi: 10.52573/ipmj.2023.180442

Post Kidney Transplant Lymphoceles: Meticulous Ligation of Lymphatics Reduces Incidence in Comparison with Electrocautery Utilization

Iraqi Postgraduate Medical Journal
Volume 22, Issue 2, April 2023, Pages 117-121    PDF (191.91 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2023.180442
Authors
Yasir Amer Al Doori1; Kanaan Mahdi Abbas2; Adil Hefdhi Al-Souf2
1AL-Karama Teaching Hospital, Baghdad, Iraq
2Gazi AL Hariri for Surgical Specialties Hospital, Medical City Baghdad, Iraq
Abstract
ABSTRACT:
BACKGROUND:
Lymphocele is one of the common complications following renal transplantation, and usually present with persistent lymphatic drain in immediate post-transplant period or perigraft (between the kidney allograft and the urinary bladder) collection in post-transplant routine ultrasound (1). Lymphorrhea or lymphorragia is defined as a lymph leak from the surgical drains or from the abdominal wall through the surgical wound (2).
AIM OF STUDY:
To compare between lymphatic’s ligation and electrocauterization in reducing post kidney transplantation lymphocele.
PATIENTS AND METHODS:
design: Prospective comparative study. Setting: Kidney Transplant Center in Medical City. Study period: From the1st August 2017 till 1st August 2019. Sample size: 100 patients with end stage renal disease. Exclusion criteria (Death, graft loss within 4-6 weeks, lack of follow-up).
RESULTS:
In this study, we noticed that lymphocele formation was in 20% of patients who were managed by lymphatic electro cauterization which was significantly higher than that in patients who were managed by meticulous ligation of lymphatics (6%) (P= 0.037). Regarding the mean of duration until drain removal, was significantly higher in cautery group than that in ligation group (7.1 versus 5.8 days, P= 0.02). Intervention needed for symptomatic lymphocele was greater in patients managed by lymphatic electrocauterization which was statistically significant (P= 0.045).
CONCLUSION:
We found that a meticulous surgical technique with ligation of all lymphatics, was significant in reducing the incidence of lymphoceles following kidney transplantation in our recipients.
 
 
Keywords
Lymphocele; renal; transplantation; ligation; cautery; Iraq
References
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