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Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation

Lymphocele is a common complication following kidney transplantation (KTx). We aimed to evaluate the preventive effect of peritoneal fenestration during KTx in reducing lymphocele. From January 2001, the data of all KTx were prospectively gathered in our digital data bank. From 2008, preventive peri...

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Autores principales: Golriz, Mohammad, Sabagh, Mohammadsadegh, Emami, Golnaz, Mohammadi, Sara, Ramouz, Ali, Khajeh, Elias, Ghamarnejad, Omid, Morath, Christian, Mieth, Markus, Kulu, Yakup, Zeier, Martin, Mehrabi, Arianeb
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8658067/
https://www.ncbi.nlm.nih.gov/pubmed/34884352
http://dx.doi.org/10.3390/jcm10235651
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author Golriz, Mohammad
Sabagh, Mohammadsadegh
Emami, Golnaz
Mohammadi, Sara
Ramouz, Ali
Khajeh, Elias
Ghamarnejad, Omid
Morath, Christian
Mieth, Markus
Kulu, Yakup
Zeier, Martin
Mehrabi, Arianeb
author_facet Golriz, Mohammad
Sabagh, Mohammadsadegh
Emami, Golnaz
Mohammadi, Sara
Ramouz, Ali
Khajeh, Elias
Ghamarnejad, Omid
Morath, Christian
Mieth, Markus
Kulu, Yakup
Zeier, Martin
Mehrabi, Arianeb
author_sort Golriz, Mohammad
collection PubMed
description Lymphocele is a common complication following kidney transplantation (KTx). We aimed to evaluate the preventive effect of peritoneal fenestration during KTx in reducing lymphocele. From January 2001, the data of all KTx were prospectively gathered in our digital data bank. From 2008, preventive peritoneal fenestration was performed as a routine procedure for all patients with KTx. Between 2001 and 2008, 579 KTx were performed without preventive peritoneal fenestration. To compare the results between with and without peritoneal fenestration, the same number of patients after 2008 (579 patients) was included in this study. The pre-, intra-, and postoperative data of the patients in these two groups were analyzed and compared, especially regarding the postoperative different types of lymphocele formation. The mean recipient age was 52.6 ± 13.8, and 33.7% of the patients were female. Type C lymphocele was significantly lower in the group with preventive fenestration (5.3% vs. 8.8%, p = 0.014 for 31/579 vs. 51/579). Peritoneal dialysis and implantation of the kidney in the left fossa were independently associated with a higher rate of type C lymphocele (OR 2.842, 95% CI 1.354–5.967, p = 0.006 and OR 3.614, 95% CI 1.215–10.747, p = 0.021, respectively). The results of this study showed that intraoperative preventive peritoneal fenestration could significantly reduce type C lymphocele.
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spelling pubmed-86580672021-12-10 Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation Golriz, Mohammad Sabagh, Mohammadsadegh Emami, Golnaz Mohammadi, Sara Ramouz, Ali Khajeh, Elias Ghamarnejad, Omid Morath, Christian Mieth, Markus Kulu, Yakup Zeier, Martin Mehrabi, Arianeb J Clin Med Article Lymphocele is a common complication following kidney transplantation (KTx). We aimed to evaluate the preventive effect of peritoneal fenestration during KTx in reducing lymphocele. From January 2001, the data of all KTx were prospectively gathered in our digital data bank. From 2008, preventive peritoneal fenestration was performed as a routine procedure for all patients with KTx. Between 2001 and 2008, 579 KTx were performed without preventive peritoneal fenestration. To compare the results between with and without peritoneal fenestration, the same number of patients after 2008 (579 patients) was included in this study. The pre-, intra-, and postoperative data of the patients in these two groups were analyzed and compared, especially regarding the postoperative different types of lymphocele formation. The mean recipient age was 52.6 ± 13.8, and 33.7% of the patients were female. Type C lymphocele was significantly lower in the group with preventive fenestration (5.3% vs. 8.8%, p = 0.014 for 31/579 vs. 51/579). Peritoneal dialysis and implantation of the kidney in the left fossa were independently associated with a higher rate of type C lymphocele (OR 2.842, 95% CI 1.354–5.967, p = 0.006 and OR 3.614, 95% CI 1.215–10.747, p = 0.021, respectively). The results of this study showed that intraoperative preventive peritoneal fenestration could significantly reduce type C lymphocele. MDPI 2021-11-30 /pmc/articles/PMC8658067/ /pubmed/34884352 http://dx.doi.org/10.3390/jcm10235651 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Golriz, Mohammad
Sabagh, Mohammadsadegh
Emami, Golnaz
Mohammadi, Sara
Ramouz, Ali
Khajeh, Elias
Ghamarnejad, Omid
Morath, Christian
Mieth, Markus
Kulu, Yakup
Zeier, Martin
Mehrabi, Arianeb
Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation
title Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation
title_full Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation
title_fullStr Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation
title_full_unstemmed Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation
title_short Prophylactic Peritoneal Fenestration during Kidney Transplantation Can Reduce the Type C Lymphocele Formation
title_sort prophylactic peritoneal fenestration during kidney transplantation can reduce the type c lymphocele formation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8658067/
https://www.ncbi.nlm.nih.gov/pubmed/34884352
http://dx.doi.org/10.3390/jcm10235651
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