Lymphocele after Renal Transplantation: A Contemporary
Review and a Modern Approach for Prevention and
Treatment
Volume 3 - Issue 1
Ali Bourgi*1, Sleiman Merhej2, Flavio Ordones3 and Elias Ayoub4
- 1Department of Urology, Hospital Français du Levant, Lebanon
- 2Professor of Urology, Saint Joseph university, Lebanon
- 3Department of urology,São Paulo State University - UNESP, Brazil
- 4Department of Urology, Lebanese Geitaoui university Hospital, Lebanon
Received: February 08, 2021; Published: February 18, 2021
Corresponding author: Ali Bourgi, Hopital Français du Levant, Lebanon
DOI: 10.32474/JUNS.2021.03.000155
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Abstract
A lymphocele is a common finding after renal transplantation. The majority of patients are asymptomatic. However, once a
lymphocele has become symptomatic, this condition has to be treated. Lymphoceles may originate either from the lymphatic system
of the recipient or the transplanted kidney. The most sensible measures to prevent their occurrence therefore seems to be to restrict
the transplant bed to the smallest permissible level with careful ligature of the lymphatic vessels in the area of the kidney hilum.
Therapy of a lymphocele after renal transplantation should commence with minimally invasive measures and continue with
invasive procedures only if these are unsuccessful, namely, puncture and drainage then sclerotization, and then laparoscopic or
open marsupialization.
Keywords: Lymohocele; kidney; transplantation; recipient
Abstract|
Introduction|
Etiologies and surgery related factors|
Diagnosis and Clinical Aspects|
Prevention|
Treatment|
Conclusions|
References|