Lymphocele incidence following Renal Transplantation our experience in sims/services Hospital Lahore

Abstract

Objective: To determine the incidence of lymphocele in patients who under went renal transplantation, as well as potential factors responsible or associated to its development. Patients and Methods: All records of 25 patients who were operated for renal transplant in SIMS/SHL between March 2006 to December 2007 were reviewed for lymphocele. The surgical technique was the standard one. All lymphatic vessels were either ligated or diathermized. Baseline post operative ultrasound after one week done or whenever indicated for lymphocele. 10% povidone iodine instilated in case of lymphocele. Patientswere followed for an average of six months with history, physical examination and ultrasound on each visit. Results: 25 patients (20 male and 5 female) have received renal allograft from live donors. There was 1(4%) instance of lymphocele; encountered at two   weeks after renal transplantation. Conclusion: Careful ligation of lymphatic vessels both during graft preparation and during implantation can significantly contribute to reducing incidence of lymphocele following renal transplantation. Instillation of 10% povidone iodine in the lymphpcele   can cure and prevent its recurrence.