Gonadal Vein Graft for Maintaining Renal Circulation After a Complication During Para-Aortic Nodal Dissection: A Case Report

  • Pesona Grace LucksomEmail author
  • Jaydip Bhaumik
  • Gautam Biswas
  • Sujoy Gupta
  • Basumita Chakraborti
Case Report


Retroperitoneal lymph node dissection has been a part of surgery in gynaecological malignancies. However, its role in many cases has become controversial. Systematic para-aortic node dissection has been defined as “complete removal of all fat and nodal tissues surrounding the aorta, inferior venacava (IVC) and renal vessels from the crossing of left renal vein (LRV) cranially to the midpoint of the common iliac vessels caudally” [1]. The removal of these lymph nodes needs expertise as there is a danger of the major vessel injury during the surgery. We would like to report a case in which there was an accidental injury to the left renal vein during para-aortic node dissection which had led to the decision for nephrectomy but presence of left gonadal vein helped restore the normal function of an important organ of our body, i.e. kidney. This method of renal vein transposition has since been employed by others with satisfactory results in nutcracker syndrome; however, such...


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Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in this study.


  1. 1.
    Pomel C, Naik R, Martinez A, et al. Systematic (complete) para-aortic lymphadenectomy: description of a novel surgical classification with technical and anatomical considerations. BJOG. 2012;119:249–53.CrossRefGoogle Scholar
  2. 2.
    Reed NR, Kalra M, Bower TC, et al. Left renal vein transposition for nutcracker syndrome. J Vasc Surg. 2009;49:386–94.CrossRefGoogle Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2017

Authors and Affiliations

  • Pesona Grace Lucksom
    • 1
    Email author
  • Jaydip Bhaumik
    • 1
  • Gautam Biswas
    • 2
  • Sujoy Gupta
    • 3
  • Basumita Chakraborti
    • 1
  1. 1.Department of Gynaecology OncologyTata Medical CenterKolkataIndia
  2. 2.Department of Plastic and ReconstructiveTata Medical CenterKolkataIndia
  3. 3.Department of UrooncosurgeryTata Medical CenterKolkataIndia

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