Pelvic lymphocele after pediatric renal transplantation: a successful technique for prevention.
Pelvic lymph accumulation (lymphocele) is a recognized complication of renal transplantation. During a 12-year period 166 renal transplants were performed in 143 children at our institution. From 1973 to 1979, 5 lymphoceles were treated in 64 children. From 1979 until the present a technique of peritoneal fenestration has been performed in 69 children, in whom 1 lymphocele developed. Lymphoceles required surgical treatment in 5 of the remaining 10 cases that were not fenestrated. Our experience with peritoneal fenestration as a method of lymphocele prevention has been excellent, and we recommend it as a prophylactic addition to renal transplant surgery.
Zaontz
M R
MR
Division of Urology, Children's Memorial Hospital, Chicago, Illinois.
Firlit
C F
CF
D002648:Child; D006801:Humans; D016030:Kidney Transplantation; D008206:Lymphatic Diseases / Q000209:etiology*; D008210:Lymphocele / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery; D008722:Methods; D010388:Pelvis; D010537:Peritoneum / Q000601:surgery; D011446:Prospective Studies; D014184:Transplantation, Homologous / Q000009:adverse effects*