6533b7d9fe1ef96bd126c482

RESEARCH PRODUCT

PTFE mesh in renal allograft compartment syndrome.

A. Di BonaC. MaioneC VirzìAntonio ScioGiovanni GambinoGiuseppe BuscemiGiuseppe DamianoEmerico LunaDanilo TurcoA.i. Lo MonteMaurizio RomanoMaria Concetta Gioviale

subject

AdultMalemedicine.medical_specialtyIncisional herniaIliac fossaAnuriaCompartment SyndromesRenal DialysismedicineRetroperitoneal spaceHumansTransplantation HomologousPolytetrafluoroethyleneKidney transplantationTransplantationKidneybusiness.industrySurgical Meshmedicine.diseaseKidney TransplantationSurgerymedicine.anatomical_structureSurgical meshSurgeryAnuriaRenal veinmedicine.symptombusiness

description

We report a case of anuria in a 42-year-old female kidney transplant patient that occurred secondary to extrinsic compression from a large kidney being placed extraperitoneally in a small iliac fossa. Prompt reexploration in the immediate postoperative period resulted in salvage of the graft with restoration of kidney function. The abdominal wall was reconstructed using prosthetic mesh, which decreased the compartment pressure within the iliac fossa sufficiently to allow the renal vein patency and the kidney perfusion. We think that this tension-free surgical technique should be applied in those cases in which the retroperitoneal space is less than the size of the kidney to avoid renal allograft compartment syndrome or incisional hernia.

yearjournalcountryeditionlanguage
2006-06-08Transplantation proceedings
10.1016/j.transproceed.2006.02.139https://pubmed.ncbi.nlm.nih.gov/16757260