Peritoneal Window With Omental Interposition as a Prophylactic Measure to Prevent Post-Renal Transplant Lymphocele: A...

Area of Science:

• Nephrology
• Transplant Surgery
• Surgical Complications

Background:

• Renal transplantation is the optimal treatment for chronic kidney disease.
• Lymphocele is a common post-operative complication affecting graft function after renal transplants.
• The incidence of lymphocele remains significant despite surgical advancements.

Purpose of the Study:

• To evaluate the effectiveness of peritoneal window and omental interposition as a prophylactic measure against post-transplant lymphocele.
• To assess the incidence of symptomatic lymphocele requiring intervention within six months post-renal transplant.

Main Methods:

• A single-center prospective study was conducted from June 2021 to June 2023.
• Included were 50 adult patients (over 18) undergoing renal transplants (live-related and deceased donors).
• The primary endpoint was the incidence of symptomatic post-transplant lymphocele requiring intervention within six months.

Main Results:

• Only one patient (2%) developed a lymphocele in the postoperative period out of 50 renal transplant recipients.
• This indicates a very low incidence of lymphocele formation in the study cohort.

Conclusions:

• Prophylactic peritoneal window with omental interposition is a highly effective technique.
• This method shows promise in preventing post-renal transplant lymphocele formation.
• The procedure may help improve graft survival by reducing lymphocele-related complications.