[Operative management of spontaneous kidney transplant rupture. Personal experiences and literature review].
Spontaneous rupture of the cadaver kidney is not rare in the early post-transplant period. In the literature the rupture complication rate varies between 0.3% and 8.5%. in our series 4.2% (12 of 285) of transplanted kidneys ruptured spontaneously. All transplant ruptures occurred as an early complication within 6 weeks postoperatively in the clinical setting of oliguria. In 8 of 12 patients we tried to preserve the graft by covering it with dehydrated solvent-dried human dura that is then sutured in place. In these cases surgical repair resulted in diuresis and restoration of normal graft function with long-term survival. This study emphasizes the possibility and necessity of conservation and repair of the ruptured allograft.
D000293:Adolescent; D000328:Adult; D004388:Dura Mater; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000601:surgery; D007674:Kidney Diseases / Q000209:etiology / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D012422:Rupture, Spontaneous
Operative Versorgung spontaner Nierentransplantatrupturen. Eigene Erfahrungen und Literaturübersicht.