Kidney recipients are susceptible to incisional hernia which requires proper management and treatment. The purpose of this study was to determine the incidence and the risk factors for surgical wound complications (e.g., infections, hernias) in kidney recipients. From September 1995 to June 2006, 2430 patients had undergone kidney transplantation in our transplant center. Incisional hernia was seen in 43 (1.7%) patients, 20 male and 23 female. The following data were collected from their medical records: age, gender, Body Mass Index (BMI), causes of end-stage renal disease, immunosuppressive regimen, patient and graft outcome, surgical complications and treatment methods. The mean age and BMI were 49.7±12.2 years and 24.5±4.9 Kg/m2, respectively. The most common cause of ESRD was hypertension, followed by diabetes mellitus. Immunosuppression in all patients was cyclosporine based. The median follow up and interval between kidney transplantation and developing of incisional hernia were 2 (1 to125) months and 33 (1 to 3700) days, respectively. Only 2 cases had wound infections (4.7%). Although incisional hernia was small in 35 recipients, repair was done in 8 cases using propylene mesh due to the large size of hernia. Only 3 patients had suture line dehiscences. Two patients died with a functioning allograft and no graft loss was occurred. Conclusion: Our study showed that the incisional hernia is an uncommon curable complication among renal allograft recipients.
Volume : 6
Issue : 4
Pages : 49
Nephrology & Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.