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.

journal_name

Transplant Proc

authors

Maione C,Gambino G,Di Bona A,Luna E,Turco D,Scio A,Damiano G,Virzì C,Gioviale MC,Buscemi G,Romano M,Lo Monte AI

doi

10.1016/j.transproceed.2006.02.139

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

1049-50

issue

4

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(06)00248-X

journal_volume

38

pub_type

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