Fibrin sealant sclerotherapy for treatment of lymphoceles following renal transplantation.
OBJECTIVE
Fibrin sealant is used in various surgical fields for hemostasis and as an adhesive to approximate tissues. Its use was recently reported as a sclerosing agent for percutaneous treatment of lymphoceles following renal transplantation. We report on the use of fibrin glue sclerotherapy at this institution for the management of renal transplant related lymphoceles.


METHODS
We reviewed the records of 8 patients at a single institution with lymphoceles after renal transplantation treated with percutaneous fibrin glue sclerosis.


RESULTS
Treatment success was achieved in 6 patients (75%), with resolution of lymphoceles assessed with clinical and imaging findings. Four patients (50%) required 2 applications of fibrin sealant, with 2 (25%) subsequently requiring surgical management of the lymphoceles. Clinical followup averaged 27.7 months (range 4 to 44). Complications included lymphocele recurrence, clogging of drainage catheters and catheter dislodgement.


CONCLUSIONS
The experience of 8 patients suggests that fibrin glue sclerotherapy may be considered a safe and effective method of treating symptomatic lymphoceles when simple percutaneous drainage has failed. The percutaneous approach does not require hospital admission and is less invasive than surgical treatment.
Chin
Arnold i
Ai
Medical Scientist Training Program, David Geffen School of Medicine, University of California, Los Angeles, 90095, USA.
Ragavendra
Nagesh
N
Hilborne
Lee
L
Gritsch
H Albin
HA
D000293:Adolescent; D000328:Adult; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000009:adverse effects / Q000627:therapeutic use*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008210:Lymphocele / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015911:Sclerotherapy; D014014:Tissue Adhesives / Q000009:adverse effects / Q000627:therapeutic use*; D014463:Ultrasonography
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives