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[Marsupialization via minilaparotomy in the kidney transplant]
M González Martín1, J E Duarte Novo, F Gómez Veiga
1Servicio de Urología, Hospital Juan Canalejo, La Coruña, España.
Objective:
To describe the results of treatment of posttransplant lymphoceles by marsupialization through a mini-laparotomy.
Methods:
From March 1996 to May 1998, 7 patients with a symptomatic lymphocele that had not been resolved by conservative treatment with drainage and povidone-iodine sclerosis underwent internal marsupialization to the peritoneal cavity through a minilaparotomy.
Results:
All patients showed a good postoperative course and were discharged two days after the procedure. Recent US scans of 5 patients showed a renal graft with a normal appearance and no perineal collections. Two patients had a recurrence; one of them was symptomatic and required another treatment. Drainage and povidone-iodine sclerosis resolved this condition.
Conclusions:
Marsupialization through a mini-laparotomy is an alternative to the laparoscopic approach and does not require new instruments or learning a new technique.