Renal Paratransplant Hernia. An Uncommon Variant of Internal Hernia. Are We Aware of It?

Moris, Demetrios; Vernadakis, Spiridon

doi:10.1097/tp.0000000000000162

Cited by 8 publications

(2 citation statements)

References 4 publications

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“…Among the 12 recipients with RPH, four (33.3%) required bowel resection for intestinal necrosis 101–104 . A side‐to‐side two‐layer hand‐sewn anastomosis may be preferable 102 due to a potentially higher risk of postoperative bleeding after stapler use 102,105 . Closure of the peritoneal defect could be performed with interrupted absorbable sutures or, in the event of a larger defect, with a mesh 102 .…”

Section: Renal Paratransplant Herniamentioning

confidence: 99%

“…[101][102][103][104] A side-to-side two-layer hand-sewn anastomosis may be preferable 102 due to a potentially higher risk of postoperative bleeding after stapler use. 102,105 Closure of the peritoneal defect could be performed with interrupted absorbable sutures or, in the event of a larger defect, with a mesh. 102 Conservative treatment is strongly discouraged due to the high risk of intestinal necrosis.…”

Section: Renal Paratransplant Herniamentioning

confidence: 99%

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Abdominal wall complications after kidney transplantation: A clinical review

Gioco

Sanfilippo

Corona

et al. 2021

Clinical Transplantation

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Introduction Abdominal wall complications are common after kidney transplantation, and although they have a minor impact on patient and graft survival, they increase the patient's morbidity and may have an impact on quality of life. Abdominal wall complications have an overall incidence of 7.7–21%. Methods This review will explore the natural history of abdominal wall complications in the kidney transplant setting, with a special focus on wound dehiscence and incisional herni, with a particular emphasis on risk factors, clinical characteristics, and treatment. Results Many patient‐related risk factors have been suggested, including older age, obesity, and smoking, but kidney transplant recipients have an additional risk related to the use of immunosuppression. Wound dehiscence usually does not require surgical intervention. However, for deep dehiscence involving the fascial layer with concomitant infection, surgical treatment and/or negative pressure wound therapy may be required. Conclusions Incisional hernia (IH) may affect 1.1–18% of kidney transplant recipients. Most patients require surgical treatment, either open or laparoscopic. Mesh repair is considered the gold standard for the treatment of IH, since it is associated with a low rate of postoperative complications and an acceptable rate of recurrence. Biologic mesh could be an attractive alternative in patients with graft exposition or infection.

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