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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.  

DOI

10.52573/ipmj.2023.180442

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