دورية أكاديمية
Aponeurotic-Cutaneous Tract Exeresis in Patients With Persistent Lymphorrhea After Kidney Transplantation: A Valid Approach in a Day Surgery Setting
| العنوان: | Aponeurotic-Cutaneous Tract Exeresis in Patients With Persistent Lymphorrhea After Kidney Transplantation: A Valid Approach in a Day Surgery Setting |
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| المؤلفون: | Iaria M., Pellegrino C., Cremaschi E., Capocasale E., Valle R. D., Del Rio P., Puliatti C. |
| المساهمون: | Iaria, M., Pellegrino, C., Cremaschi, E., Capocasale, E., Valle, R. D., Del Rio, P., Puliatti, C. |
| بيانات النشر: | Elsevier Inc. |
| سنة النشر: | 2021 |
| المجموعة: | Università di Parma: CINECA IRIS |
| الوصف: | Background: Lymphatic disorders (LDs) are the most common minor complications after kidney transplantation (KT), with an incidence rate between 0.6% and 33.9%, which appears to be related to both surgical and medical factors. LDs mostly resolve spontaneously, but occasionally a surgical approach may be required. Materials and Methods: We report our experience with 7 KT recipients who developed persistent lymphorrhea (>150 mL/24 h) between October 2017 and March 2019. All cases were treated as outpatients with parietal fistulectomy (PF). The fibrotic aponeurotic-cutaneous tract was thoroughly excised, and the residual aponeurotic defect was closed by watertight suturing. Serial abdominal ultrasounds (US) were carried out after the procedure. Results: A small perirenal graft lymphocele of <2 cm was detected by US in all patients after 48 to 72 hours, without any evidence of either vascular or ureteral compression. During the subsequent scheduled US follow-up, lymphoceles did not increase in size, and additional interventions were not needed. Neither superficial nor deep surgical-site infections were recorded in such patients. Conclusions: PF was found to be a safe and effective minimally invasive approach for persistent lymphorrhea after KT. It could be easily performed with local anesthesia in a day surgery setting and did not require patient hospitalization. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/wos/WOS:000634241800044; volume:53; issue:3; firstpage:1055; lastpage:1057; numberofpages:3; journal:TRANSPLANTATION PROCEEDINGS; http://hdl.handle.net/11381/2882326Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85091505263 |
| DOI: | 10.1016/j.transproceed.2020.08.037 |
| الإتاحة: | https://doi.org/10.1016/j.transproceed.2020.08.037Test http://hdl.handle.net/11381/2882326Test |
| رقم الانضمام: | edsbas.36563D99 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.transproceed.2020.08.037 |
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