[Marsupialization via minilaparotomy in the kidney transplant].
OBJECTIVE
To describe the results of treatment of posttransplant lymphoceles by marsupialization through a mini-laparotomy.


METHODS
From March 1996 to May 1998, 7 patients with a symptomatic lymphocele that had not been resolved by conservative treatment with drainage and povidone-iodine sclerosis underwent internal marsupialization to the peritoneal cavity through a minilaparotomy.


RESULTS
All patients showed a good postoperative course and were discharged two days after the procedure. Recent US scans of 5 patients showed a renal graft with a normal appearance and no perineal collections. Two patients had a recurrence; one of them was symptomatic and required another treatment. Drainage and povidone-iodine sclerosis resolved this condition.


CONCLUSIONS
Marsupialization through a mini-laparotomy is an alternative to the laparoscopic approach and does not require new instruments or learning a new technique.
González Martín
M
M
Servicio de Urología, Hospital Juan Canalejo, La Coruña, España.
Duarte Novo
J E
JE
Gómez Veiga
F
F
Chantada Abal
V
V
Alvarez Castelo
L
L
D000328:Adult; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D007813:Laparotomy / Q000379:methods*; D008210:Lymphocele / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D015911:Sclerotherapy; D017211:Treatment Failure; D014463:Ultrasonography