Transumbilical laparoendoscopic single-site donor nephrectomy: evolving trends

Hennawy, Hany M El; Hashemy, Ahmed Al; Kadi, Najib; Jameel, Muhammed; Faifi, Abdullah S Al; Habhab, Wael; Fahmy, Ahmed

doi:10.1007/s00464-018-6474-8

Cited by 5 publications

(1 citation statement)

References 27 publications

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“…A full detailed description of our LESS DN and ODN operative techniques was mentioned in our previous article [ 11 ]. The ODN technique was a standard retroperitoneal flank approach without rib resection.…”

Section: Methodsmentioning

confidence: 99%

Post-Laparoendoscopic Single-Site Donor Nephrectomy Ipsilateral Testicular Pain, Does Operative Technique Matter? A Single Center Experience and Review of Literature

Hennawy

Faifi

Atta

et al. 2022

Minimally Invasive Surgery

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Aim. To assess incidence and characteristics of post-laparoendoscopic single-site donor nephrectomy (LESS DN) testicular pain. Materials and Methods. A prospective comparative study of all male donors post-left LESS DN (group A) vs. postopen nephrectomies (group B) was performed at our center. Patients’ demographics, perioperative data, and postoperative consultation reports were reviewed. Testicular pain, swelling, numbness, urinary symptoms, and sexual dysfunction were evaluated. Patients with a history of scrotal pathology or surgical procedure were excluded. Pain and tenderness were scored on a standard 10-point scale. Results. From September 2017 to December 2020, 85 and 35 male patients of groups A and B met the evaluation criteria. Ipsilateral testicular pain developed in 11 patients (15.3%) and 2 patients (9.5%) in groups A and B, respectively. In most instances, the pain was mild to moderate in severity, started after 6 ± 2.1 and 4 ± 1.1 days postoperatively in groups A and B, respectively. Six patients in group A were evaluated with transscrotal ultrasonography that showed no abnormalities. All patients in both groups responded well to medical treatment. Conclusions. Post-LESS DN ipsilateral testicular pain is usually mild and self-limited. Preoperative patient education and discussion of the possibility of development of testicular pain and its management should be an integral component of laparoscopic donor nephrectomy informed consent.

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Section: Methodsmentioning

confidence: 99%