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Abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit
BACKGROUND: Abdominal wall surgical site complications following renal transplantation can be challenging to manage. A sub-group of these recipients will require operative management or advanced wound care such as negative pressure wound therapy (NPWT). The aim of this study was to determine if ther...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341541/ https://www.ncbi.nlm.nih.gov/pubmed/30665387 http://dx.doi.org/10.1186/s12893-019-0468-x |
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author | Lau, Ngee-Soon Ahmadi, Nima Verran, Deborah |
author_facet | Lau, Ngee-Soon Ahmadi, Nima Verran, Deborah |
author_sort | Lau, Ngee-Soon |
collection | PubMed |
description | BACKGROUND: Abdominal wall surgical site complications following renal transplantation can be challenging to manage. A sub-group of these recipients will require operative management or advanced wound care such as negative pressure wound therapy (NPWT). The aim of this study was to determine if there were any preoperative, intraoperative and postoperative characteristics in our recipients’ cohort which were associated with the requirement for such interventions. METHODS: A retrospective review of medical records was performed for all recipients who sustained abdominal wall complications following renal transplantation at our centre from 2006 to 2016. RESULTS: A total of 64/828 recipients (7.7%) had abdominal wall complications. The mean weight for these patients was 84.9 kg (±16.6 kg) and the mean body mass index was 30.2 (±5.1). Forty-five recipients (70%) had a superficial wound dehiscence while nine (14%) had a complete fascial dehiscence. Operative intervention was required in 13/64 patients (20%) and was more likely to be required in the presence of a fascial dehiscence (9/9, 100%) or a wound collection (10/31, 32%) (p < 0.001, p = 0.021). NPWT was used in 17/64 patients (27%) and was more commonly required in patients with diabetes mellitus (10/24, 42%), a complete fascial dehiscence (5/9, 56%) or evidence of infection (16/44, 36%) (p = 0.039, p = 0.034, p = 0.008). CONCLUSIONS: The requirement for either operative management or the use of NPWT in the management of abdominal wall complications following renal transplantation in our experience was more common in recipients with diabetes mellitus, and in the setting of either complete fascial dehiscence, abdominal wall wound collections and/ or infection. |
format | Online Article Text |
id | pubmed-6341541 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63415412019-01-24 Abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit Lau, Ngee-Soon Ahmadi, Nima Verran, Deborah BMC Surg Research Article BACKGROUND: Abdominal wall surgical site complications following renal transplantation can be challenging to manage. A sub-group of these recipients will require operative management or advanced wound care such as negative pressure wound therapy (NPWT). The aim of this study was to determine if there were any preoperative, intraoperative and postoperative characteristics in our recipients’ cohort which were associated with the requirement for such interventions. METHODS: A retrospective review of medical records was performed for all recipients who sustained abdominal wall complications following renal transplantation at our centre from 2006 to 2016. RESULTS: A total of 64/828 recipients (7.7%) had abdominal wall complications. The mean weight for these patients was 84.9 kg (±16.6 kg) and the mean body mass index was 30.2 (±5.1). Forty-five recipients (70%) had a superficial wound dehiscence while nine (14%) had a complete fascial dehiscence. Operative intervention was required in 13/64 patients (20%) and was more likely to be required in the presence of a fascial dehiscence (9/9, 100%) or a wound collection (10/31, 32%) (p < 0.001, p = 0.021). NPWT was used in 17/64 patients (27%) and was more commonly required in patients with diabetes mellitus (10/24, 42%), a complete fascial dehiscence (5/9, 56%) or evidence of infection (16/44, 36%) (p = 0.039, p = 0.034, p = 0.008). CONCLUSIONS: The requirement for either operative management or the use of NPWT in the management of abdominal wall complications following renal transplantation in our experience was more common in recipients with diabetes mellitus, and in the setting of either complete fascial dehiscence, abdominal wall wound collections and/ or infection. BioMed Central 2019-01-21 /pmc/articles/PMC6341541/ /pubmed/30665387 http://dx.doi.org/10.1186/s12893-019-0468-x Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Lau, Ngee-Soon Ahmadi, Nima Verran, Deborah Abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit |
title | Abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit |
title_full | Abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit |
title_fullStr | Abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit |
title_full_unstemmed | Abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit |
title_short | Abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit |
title_sort | abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341541/ https://www.ncbi.nlm.nih.gov/pubmed/30665387 http://dx.doi.org/10.1186/s12893-019-0468-x |
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