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[Reconstructive surgery with polypropylene mesh associated with kidney transplant]
L M Clemente Ramos1, F J Burgos Revilla, V Gómez Dosantos
1Servicio de Urología, Hospital Ramón y Cajal, Madrid.
Actas Urologicas Espanolas
|July 11, 1998
Summary
This study shows polypropylene mesh is effective for treating abdominal wall hernias after renal transplantation. The mesh repair demonstrated 100% efficacy with acceptable complication rates in this patient cohort.
Area of Science:
- Surgical complications in organ transplantation
- Abdominal wall reconstruction techniques
- Renal transplant outcomes
Context:
- Hernial complications of the abdominal wall are infrequent but significant post-renal transplantation.
- Limited literature exists on the management and outcomes of these specific complications.
- This study addresses the gap by evaluating hernial complications in renal transplant recipients.
Purpose:
- To evaluate the incidence and types of abdominal wall hernias following renal transplantation.
- To assess the efficacy and safety of polypropylene mesh repair for these hernias.
- To report on the intervention outcomes and long-term results.
Summary:
- A retrospective analysis of 650 renal transplantations identified 8 cases (1.2%) of abdominal wall hernias requiring repair with braided polypropylene mesh.
- Repairs included eventrations and inguinal hernias, with a mean time to eventration of 47.3 months.
- Mesh was placed in the pre-peritoneal space, resulting in two minor complications (hematoma, wound infection) but no graft loss.
Impact:
- Polypropylene mesh repair is a safe and effective treatment for post-renal transplantation abdominal wall hernias.
- The technique achieved 100% efficacy in this series with acceptable morbidity.
- This approach offers a sound alternative for managing these challenging surgical complications.