The frequency of lymphocele and its management in post renal transplant patients in a tertiary care hosptal of khyber pakhtunkhwa, pakistan | [Pak-Euro Journal of Medical and Life Sciences • 2022]

Author(s):

1. Mushtaq ahmed: Department of Urology and Transplant, Institute of kidney disease (IKD) Peshawar, Pakistan

2. Hazratullah: Department of Urology, Khyber Teaching Hospotal, Peshwar, Pakistan

3. Atta U Rahman: Department of Urology and Transplant, Institute of kidney disease (IKD) Peshawar, Pakistan

4. Asif Malik: Department of Urology and Transplant, Institute of kidney disease (IKD) Peshawar, Pakistan

Abstract:

Objctive: To assess the frequency of lymphocele and its management in patients with live renal transplant. Introduction: Renal transplant is the treatment of choice for patient with ESRD. Although it improve quality and increase life expectancy but it is not without major and minor complications one of that complication is lymphocele that cause that cause severe morbidity and even graft dysfunction. We conducted this study to find the frequency of lymphocele in patients undergoing renal transplant. Materials and Methods: This is a retrospective study conducted in the Institute of Kidney Diseases and Transplant. The files of all those patients were analyzed who underwent live donor renal transplant from Jan 2015 to July 2020. The demographic and all relevant data were entered in a proforma. For analysis we entered data in SPSS version 23. Results: From Jan 2015 to July 2020 42 renal transplants were performed. Male patients were 32 (76 %) and female were 10 (23.8%) ratios male to female 3.2 to 1. Mean age 37.5 years (range 50 to 25 years).Only 5 (11.9%) patients developed lymphocele out of which 3 patients (7.1%) developed mild lymphocele without any renal dysfunction and were treated conservatively while two (4.7%) presented with hydro nephrosis and renal dysfunction. One of them respond to percutaneous aspiration and tetracycline installation while other one after failed response to percutaneous aspiration and sclerotherapy was treated by laparoscopic intraperitoneal drainage. Conclusion: Lymphocele is one of the common complications after renal transplantation which responds to different treatment modalities ranging from conservative treatment to minimally invasive or even major interventions in the form of open surgical technique or laparoscopic interventions in few cases.

Page(s): 209-214

DOI: 10.31580/pjmls.v5i2.2551

Published: Journal: Pak-Euro Journal of Medical and Life Sciences, Volume: 5, Issue: 2, Year: 2022

Keywords:

Sclerotherapy , Renal transplant , Lymphocele

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