Chintan Patel, MS1, Shubham Gupta, MS2, Jasmine Agarwal2, Eham Arora, MS2, Gagandeep Talwar2, Kalpesh Gohel, MD, DNB1. 1Kiran Multi-Superspeciality Hospital, Surat, India, 2Grant Government Medical College & Sir JJ Group of Hospitals
Objective: Kidney recipients are susceptible to incisional hernia. Reports of hernia mesh repair after kidney transplantation are rare; thus the benefit of mesh hernioplasty in transplanted patients is not widely researched or published.
Method: From 2014 to 2017, 6 patients came to hospital with renal paratransplant hernia. They were evaluated for this study. The following data were collected from their records: age,gender, weight, age at graft rejection, surgical complications, treatment method and the treatment results with composite PTFE mesh.
Results: For laparoscopic repair of Incisional hernia after renal transplant, the median interval between kidney transplantation and developing of incisional hernia was 64 (range 12 to 425) days. Predisposing factors were obesity, age over fifty years, and female gender. In six patients, hernia was large, and the repair was performed with using composite PTFE mesh. One patient had developed serous collection in surgical site, which was managed successfully with multiple punctures. Hernia recurrence or infection was not noted in these patients during 3 to 36 months follow-up periods.
Conclusion: Incisional hernia is not a rare entity after kidney transplantation. Predisposing factors, such as obesity, age over 50 years, and female gender have a role in its development. Repeated surgeries in kidney recipients can increase the risk of incisional hernia. Managing this complication by laparoscopic approach is a safe and effective method.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87293
Program Number: P034
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster
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