Read by QxMD icon Read

lymphocoele renal transplant

Wojciech Krajewski, Janusz Dembowski, Anna Kołodziej, Bartosz Małkiewicz, Krzysztof Tupikowski, Michał Matuszewski, Paweł Chudoba, Maria Boratyńska, Marian Klinger, Romuald Zdrojowy
INTRODUCTION: Urological complications after renal transplantation occur in between 2.5% and 30% of all graft recipients. The aim of the study was to present 7 years of experience in urological treatment of patients with a transplanted kidney. We aimed to identify retrospectively late urological complications in renal transplant recipients at a single center and analyze the treatment modalities and their outcome. MATERIAL AND METHODS: Between January 2008 and December 2014, a total of 58 patients after KTX were treated in the Department of Urology because of post-transplant urological complications that occurred during follow-up at the Transplant Outpatient Department...
2016: Central European Journal of Urology
Ashish V Choudhrie, Santosh Kumar, Lionel Gnanaraj, Antony Devasia, Ninan Chacko, Nitin S Kekre
The aim of this study was to evaluate the outcome of various treatment modalities of symptomatic lymphoceles and suggest an optimal management protocol. Case records of 744 renal transplant recipients who underwent surgery between January 2000 and December 2007 were retrospectively reviewed. There were a total of 36 (4.38%) lymphoceles detected in the postoperative period, of which 14 (1.88%) were symptomatic. A total of 32 procedures for the treatment of lymphocele were performed in 14 of these patients. Aspiration or percutaneous catheter drainage was performed as a primary procedure in all cases...
November 2012: Saudi Journal of Kidney Diseases and Transplantation
M Onniboni, M De Filippo, R Averna, L Coco, M Zompatori, N Sverzellati, C Rossi
Kidney transplantation is currently the treatment of choice in most patients with end-stage chronic renal failure owing to the excellent results in terms of both graft and patient survival. However, surgical complications are still very frequent. Although urological (stricture, urinary fistulas, vesico-ureteral reflux) and lymphatic complications (lymphocoele) have a high incidence, they only rarely lead to graft loss. By contrast, vascular complications (stenosis, arterial and venous thrombosis, arterio-venous fistulas, pseudoaneurysms) are relatively rare, but potentially serious and may affect graft survival...
August 2013: La Radiologia Medica
Tricia Kuo, Sidney Kam-Hung Yip, Chi Fai Ng, Lay Guat Ng, Christopher Wai-Sam Cheng
OBJECTIVE: Live donor kidney transplantation is consistently superior to deceased donor kidney transplantation. Laparoscopic donor nephrectomy (LDN) is increasingly accepted as a safe and preferred surgical option. To evaluate the outcome of LDN and the impact of multiple arteries, a retrospective review was conducted on patients in two transplant centres. METHODS: Fifty patients including eight with double vessels were studied. Standard left transperitoneal LDN was performed...
April 2010: Asian Journal of Surgery
N Basic-Jukic, V Furic-Cunko, P Kes, L Bubic-Filipi, J Pasini, T Hudolin, I Juric
BACKGROUND: The Eurotransplant "senior" program allocates kidneys from elderly donors to patients >65 years old. It aims to increase the number of renal transplantations. Kidneys are allocated locally without human leukocyte antigen (HLA) matching to decrease the cold ischemia time. Croatia has introduced its own "senior" program based on HLA matching. We compared results with those from Eurotransplant. METHODS: We identified and prospectively followed all patients aged of >or=65 years who underwent a first renal transplantation...
December 2008: Transplantation Proceedings
Domingo Hernández, Margarita Rufino, Silvia Armas, Ana González, Pedro Gutiérrez, Pablo Barbero, Sofía Vivancos, Concepción Rodríguez, José Rodríguez de Vera, Armando Torres
BACKGROUND: Risk factors for surgical complications (SCs) following kidney transplantation in the modern transplant era need to be identified to perform appropriate prophylactic interventions. METHODS: Records from 870 consecutive adult cadaveric kidney transplants done at a single centre were reviewed. SCs were classified into four groups: (i) vascular (12%, thrombosis or stenosis); (ii) haemorrhagic (12%); (iii) ureteral (7.5%, leaks and stenosis) and (iv) wound (16%, lymphocoeles or dehiscences)...
October 2006: Nephrology, Dialysis, Transplantation
C F Shum, K O Lau, J L Sy, W S Cheng
INTRODUCTION: Renal transplantation has gained much wider acceptance as a treatment option for local patients with end-stage renal failure in the last three decades. However, there are no local reports regarding the associated urological complications and their management. This paper aims to explore these complications in the local setting. METHODS: This is a retrospective review of 440 consecutive renal transplantations performed in Singapore General Hospital over a ten-year period...
May 2006: Singapore Medical Journal
M Nikolovski, M Stankev, T Zakhariev, P Panchev
The increasing number of renal transplantations in Bulgaria and the increased survival rate of renal transplantation patients lead to an increase of the number of complications (vascular, urological, liquid collections) requiring surgical intervention. One hundred and ninety renal transplantation patients have been treated in the Department of Renal Transplantation for the period 1997-2003. Of these 12 were admitted to the Clinic of Vascular Surgery. We observed 36 surgical complications: arterial thrombosis--7, venous thrombosis--1, arterial stenosis--7, lymphocoele--4, hematoma--4, ureteral fistula--6, ureteral stricture--6, ureterolithiasis--1...
2004: Khirurgiia
A S MacDonald
A 10-year experience with the immunosuppressive drug rapamycin that begins in the laboratory then extends through multicentre trials in combination with cyclosporine in kidney transplant recipients, exploration of its use as a single agent and in combination with tacrolimus, and its potential in nonrenal organs is described. Rapamycin is a potent inhibitor of endothelial injury in rat aortic allografts. When added to full-dose cyclosporine it achieves low rejection rates, but it augments the nephrotoxicity and hyperlipidemia of cyclosporine...
May 2003: Transplantation Proceedings
D R J Kuypers, A Herelixka, Y Vanrenterghem et al.
Rapamycin is an immunosuppressive drug with a distinct and unique mode of action and a specific side effect profile. We report here briefly on our personal clinical experience using this immunosuppressive drug in different combinations and settings. Rapamycin is without any doubt an efficient drug capable of preventing acute allograft rejection in a variety of immunosuppressive combinations. It is also a very potent drug that is not devoid of serious side effects. Infectious complications as a result of strong inhibition of the immune system are a frequent cause of hospitalization with severe morbidity and even mortality...
May 2003: Transplantation Proceedings
M L Tie, M M Rao, C Russell, K Burapa
BACKGROUND: Lymphocoeles post renal transplantation can be difficult to see laparoscopically. The objective of this study was to report a new technique of catheter or guide-wire placement for the guidance of laparoscopic marsupialization of symptomatic post renal transplant lymphocoeles, refractory to conservative therapy. METHODS: Conventional aseptic technique under local anaesthesia was used for guide-wire or catheter insertion, with the difference being the use of a transperitoneal approach...
May 2001: Nephrology, Dialysis, Transplantation
J P Sarramon, D Durand, F Lazorthes, H T That, J M Suc
Trauma to a graft by a seat belt in a young adult, 18 months after transplantation. Drainage shortly after of a voluminous perirenal haematoma, abundant discharge of lymphorrhoea taking two months to resolve. Good recovery of the graft from both a radiological as well as biological standpoint. 4 years after the trauma, leucocytes in the urine associated with impairment of function of the graft. Discovery of a large hydronephrosis related to retro-peritoneal fibrosis. Ureterolysis with resection of the affected part of the ureter followed by anastomosis...
July 1976: Journal D'urologie et de Néphrologie
A Meyers, D Salant, R Rabkin, J Milne, R Botha, J Myburgh
UNLABELLED: Seven lymphocoeles have complicated 158 cadaver and 18 related live donor transplants performed over six years. The purpose of this study is to review the clinical, diagnostic and therapeutic problems encountered with lymphocoeles at this centre. Presentation was insidious, delayed (50 days post-op), and manifested by one or more of the following: palpable rectal or supra-pubic mass; unilateral leg oedema; recurrent urine infections with radiographic evidence of obstruction; filling defect in bladder on routine IVP...
1976: Proceedings of the European Dialysis and Transplant Association
J R Burke, R Counahan, A J Hilson, M N Maisey, M Bewick, C S Ogg, C Chantler
Three hundred and fifty-eight renal imaging studies with quantitation of renal perfusion were performed following injection of 99Tcm-DTPA in 22 children aged 6--15 years with renal transplants. In 58 of 62 scans performed at the onset of a rejection episode, renal perfusion was decreased. This was the only feature of rejection in 6 episodes, in 5 of which the patient was oliguric due to post-operative acute tubular necrosis. In 4 episodes perfusion fell, but antirejection treatment was not given as a repeat scan was normal...
October 1979: Clinical Nephrology
J G Brockis, J C Hulbert, A S Patel, D Golinger, P Hurst, B Saker, E F Haywood, A K House, A van Merwyk
Six patients have developed a lymphocoele after renal transplantation, an incidence of 4%. A lymphocoele should be suspected in a patient who develops a rising creatinine with a pelvic mass or pressure effects on the pelvic veins 1 or more months after operation. The diagnosis is confirmed by intravenous urography, venography and ultrasonography: the use of the latter as a diagnostic measure is recommended. Treatment is by marsupialisation into the peritoneum or external drainage with breakdown of all loculi...
August 1978: British Journal of Urology
J B Bingham, A J Hilson, M N Maisey
Eight patients are described in whom transplant lymphocoeles were drained. All had 99Tcm-DTPA dynamic renal scintigrams performed pre-operatively; five showed features of obstruction. Photon deficient areas on the scintigrams and bladder deformities were of particular value in detecting lymphocoeles.
May 1978: British Journal of Radiology
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"