title: PTFE mesh in renal allograft compartment syndrome.
abstract: We report a case of anuria in a 42-year-old female kidney transplant patient that occurred secondary to extrinsic compression from a large kidney being placed extraperitoneally in a small iliac fossa. Prompt reexploration in the immediate postoperative period resulted in salvage of the graft with restoration of kidney function. The abdominal wall was reconstructed using prosthetic mesh, which decreased the compartment pressure within the iliac fossa sufficiently to allow the renal vein patency and the kidney perfusion. We think that this tension-free surgical technique should be applied in those cases in which the retroperitoneal space is less than the size of the kidney to avoid renal allograft compartment syndrome or incisional hernia.
authors.affiliation: Department of General Surgery and Organ Transplantation, University of Palermo School of Medicine, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Maione
authors.forename: G
authors.initials: G
authors.lastname: Gambino
authors.forename: A
authors.initials: A
authors.lastname: Di Bona
authors.forename: E
authors.initials: E
authors.lastname: Luna
authors.forename: D
authors.initials: D
authors.lastname: Turco
authors.forename: A
authors.initials: A
authors.lastname: Scio
authors.forename: G
authors.initials: G
authors.lastname: Damiano
authors.forename: C
authors.initials: C
authors.lastname: Virzì
authors.forename: M C
authors.initials: MC
authors.lastname: Gioviale
authors.forename: G
authors.initials: G
authors.lastname: Buscemi
authors.forename: M
authors.initials: M
authors.lastname: Romano
authors.forename: A I
authors.initials: AI
authors.lastname: Lo Monte
mesh_terms: D000328:Adult; D001002:Anuria; D003161:Compartment Syndromes / Q000209:etiology / Q000628:therapy*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D011138:Polytetrafluoroethylene / Q000627:therapeutic use*; D006435:Renal Dialysis; D013526:Surgical Mesh; D014184:Transplantation, Homologous
chemical_list: D011138:Polytetrafluoroethylene