Laparoscopic fenestration of posttransplant lymphoceles

Abstract

Laparoscopic lymphocele fenestration is reserved for patients in whom temporary drainage with or without sclerotherapy failed to resolve the fluid collection. In these cases the laparoscopic approach offers obvious technical and clinical advantages compared to open operative techniques.

Laparoscopic treatment of lymphoceles after renal transplantation

“…Open lymphocelectomy has long been the standard. A literature review including 129 patients who underwent open drainage between 1980 and 1998 revealed a complication rate of 4% and a recurrence rate of 15% (18). It is believed that the high incidence of symptomatic recurrences following open drainage is a result of bowel adhesions obstructing the internal window and thus causing extraperitoneal fluid accumulation.…”

Ventral hernia following lymphocele fenestration in a patient after renal transplantation – a case report and treatment strategy

“…This easy-to-perform method reveals high effectiveness [4]. It involves creating a gap in the peritoneum, which establishes communication between the lymphocele and the peritoneal cavity.…”

“…sclerotherapy, puncture, external drainage [1,4,5,7]. Puncture and external drainage are not recommended in the case of large lymph collection due to a high risk of possible infection and recurrence [4,7].…”

“…This procedure can be performed by either the laparoscopic or the classical approach [4,5]. Differently when the fascia suturing is inadequate, than classical wound revision, fenestration and secondary abdominal wall closing is recommended.…”

Povidone-Iodine Instillation for Management of Pelvic Lymphocele After Pelvic Lymphadenectomy for Staging Prostate Cancer

“…It is a well-recognized complication of renal transplantation, with incidence rates up to 20% [2]. Although small lymphoceles may remain undetected, larger ones can manifest as lower abdominal masses, ipsilateral lymphedema, continued incisional drainage, fever, weight gain, and tenderness in the iliac fossa [4,11,12].…”