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[Lymphoceles after renal transplantation].
Journal De Chirurgie
|May 1, 1983
Summary
Post-renal transplant lymphoceles affect 1-10% of patients. Diagnosis uses imaging, and treatment depends on symptoms, with marsupialization and epiploplasty being effective.
Area of Science:
- Nephrology
- Transplantation Surgery
- Urology
Background:
- Lymphocele is a known complication following renal transplantation, occurring in 1-10% of cases.
- Understanding the pathogenesis and clinical presentation of lymphoceles is crucial for effective management.
- This study reviews findings from 8 cases to elucidate these aspects.
Observation:
- Diagnosis of lymphocele is typically achieved through a combination of ultrasonography and intravenous urography.
- Asymptomatic lymphoceles generally do not require intervention.
- Symptomatic lymphoceles or those causing venous/urinary compression necessitate treatment.
Findings:
- External drainage is indicated for lymphoceles with spontaneous skin rupture, potentially aided by colloidal gold injections.
- Intra-peritoneal marsupialization is a common treatment but has a high recurrence rate when performed alone.
- Combining intra-peritoneal marsupialization with epiploplasty significantly improves treatment outcomes and reduces recurrence.
Implications:
- Accurate diagnosis through combined imaging modalities facilitates timely intervention.
- Tailored treatment strategies, differentiating between asymptomatic and symptomatic cases, are essential.
- The combination of marsupialization and epiploplasty offers a superior therapeutic approach for symptomatic renal transplant lymphoceles, minimizing recurrence and improving patient prognosis.