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Volume: 2 Issue: 2 December 2004 - Supplement - 1

FULL TEXT

LYMPHOCELE IN KIDNEY RECIPIENTS

Lymphocele is a common complication after renal transplantation. This study explores its incidence, presentation, management and outcome in the present series of 528 renal transplantation procedures. Recipients were 313 males and 215 females, 69 of them were children. Kidney grafts were obtained from 384 living and 144 cadaveric donors. All recipients were screened by ultrasound (U/S) and/or isotope scans at regular intervals or when indicated. 50 recipients (9.5%) developed lymphocele collection at 2 weeks to 6 months after transplantation. 31 of the recipients were males, and 6 recipients were children. Kidney grafts were from 33 living, and 17 cadaveric donors. Lymphocele presented clinically as (a) pelvi-abdominal swelling alone in 28, (b) pevi-abdominal swelling with either or both of ipsilateral lower limb oedema and increased serum creatinine in 18, and (c) as an accidental finding on routine U/S examination in 4 cases. In all cases diagnosis was confirmed by U/S scanning. Lymphocele collection was treated by (A) Per cutaneous drainage was attempted in 28 cases, collection reformed in 16 of them. (B) Intra peritoneal drainage was performed as a primary treatment in 20 recipients, and following failure of per cutaneous drainage in 16 recipients. (C) Conservative treatment was adopted in 2 cases of asymptomatic collection. There was no graft loss secondary to lymphocele collection in this series. The incidence of lymphocele in this series (9.5%) is similar to the reported incidence in the literature. It was not influenced by the recipient gender, age or the donor source. Intra peritoneal drainage was the most effective method of treatment.



Volume : 2
Issue : 2
Pages : 35


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