Transplant nephrectomy with peritoneal window: Georgetown University experience.

Journal: Turkish journal of surgery
Published Date: Sep 23, 2019

Abstract

OBJECTIVES: Transplant nephrectomy is a technically challenging procedure with high complication rates. Morbidity and mortality are mostly due to hemorrhage or infection and are reported to be 17-60% and 1-39%, respectively. The most common surgical technique for transplant nephrectomy is sub-capsular, extraperitoneal approach which may result in fluid accumulation and subsequent super-infection. We report that intraperitoneal approach, after assuring hemostasis of the transplant pedicle, allows for passive drainage, decreases hematoma formation and minimizes the subsequent infection risk in the nephrectomy bed.

Authors

  • Rachel Rubinz
    Department of Urology, Georgetown University School of Medicine, Washington, USA.
  • Oya M Andaçoğlu
    Georgetown University MedStar Transplant Institute, Washington, USA.
  • Erik Anderson
    Department of Urology, Georgetown University School of Medicine, Washington, USA.
  • William Corder
    Department of Urology, Georgetown University School of Medicine, Washington, USA.
  • Evan Michaelson
    Department of Urology, Georgetown University School of Medicine, Washington, USA.
  • Jack Moore
    Georgetown University MedStar Transplant Institute, Washington, USA.
  • Matthew Cooper
    Georgetown University MedStar Transplant Institute, Washington, USA.
  • Seyed Ghasemian
    Department of Urology, Georgetown University School of Medicine, Washington, USA.

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