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Abdominal Wall Closure of Renal Transplant Recipients: An Undermined Challenge

Tension-free muscle closure is essential in kidney transplantation, both in adult and pediatric patients. Tight muscle closure may lead to renal transplant compartment syndrome either due to compression of the renal parenchyma or due to kinking of the renal vessels. It may also cause kinking of the...

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Detalles Bibliográficos
Autor principal: Halawa, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Avicenna Organ Transplantation Institute 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089225/
https://www.ncbi.nlm.nih.gov/pubmed/25013568
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author Halawa, A.
author_facet Halawa, A.
author_sort Halawa, A.
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description Tension-free muscle closure is essential in kidney transplantation, both in adult and pediatric patients. Tight muscle closure may lead to renal transplant compartment syndrome either due to compression of the renal parenchyma or due to kinking of the renal vessels. It may also cause kinking of the transplant kidney ureter, wound dehiscence and incisional hernia. Many techniques have been proposed in an attempt to achieve tension-free closure. There is a wrong belief among some surgeons that using prosthetic mesh may increase the incidence of infection complications in these immunosuppressed patients. Also, there is fear that one is not able to monitor the renal graft by ultrasound and perform biopsy in the presence of a mesh. Other alternative techniques to mesh closure include subcutaneous placement and intraperitonealization of the kidney transplant. These techniques however, are valuable when mesh closure is unfavorable or contraindicated as in case of the presence of a potential source of infection like a stoma. Abdominal wall fasciotomy can be adjunctive to various techniques of muscle closure.
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spelling pubmed-40892252014-07-10 Abdominal Wall Closure of Renal Transplant Recipients: An Undermined Challenge Halawa, A. Int J Organ Transplant Med Review Article Tension-free muscle closure is essential in kidney transplantation, both in adult and pediatric patients. Tight muscle closure may lead to renal transplant compartment syndrome either due to compression of the renal parenchyma or due to kinking of the renal vessels. It may also cause kinking of the transplant kidney ureter, wound dehiscence and incisional hernia. Many techniques have been proposed in an attempt to achieve tension-free closure. There is a wrong belief among some surgeons that using prosthetic mesh may increase the incidence of infection complications in these immunosuppressed patients. Also, there is fear that one is not able to monitor the renal graft by ultrasound and perform biopsy in the presence of a mesh. Other alternative techniques to mesh closure include subcutaneous placement and intraperitonealization of the kidney transplant. These techniques however, are valuable when mesh closure is unfavorable or contraindicated as in case of the presence of a potential source of infection like a stoma. Abdominal wall fasciotomy can be adjunctive to various techniques of muscle closure. Avicenna Organ Transplantation Institute 2010 2010-05-01 /pmc/articles/PMC4089225/ /pubmed/25013568 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Halawa, A.
Abdominal Wall Closure of Renal Transplant Recipients: An Undermined Challenge
title Abdominal Wall Closure of Renal Transplant Recipients: An Undermined Challenge
title_full Abdominal Wall Closure of Renal Transplant Recipients: An Undermined Challenge
title_fullStr Abdominal Wall Closure of Renal Transplant Recipients: An Undermined Challenge
title_full_unstemmed Abdominal Wall Closure of Renal Transplant Recipients: An Undermined Challenge
title_short Abdominal Wall Closure of Renal Transplant Recipients: An Undermined Challenge
title_sort abdominal wall closure of renal transplant recipients: an undermined challenge
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4089225/
https://www.ncbi.nlm.nih.gov/pubmed/25013568
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