Abstract
Introduction: Abdominal wall dehiscence in renal transplantation patients risks the survival of the transplanted organ. No clear treatment algorithm exists in the literature for this group of patients. Methods: Between 1992 and 2001, the Division of Plastic Surgery at the University of Maryland treated 41 of 2499 renal transplant patients. Based on a retrospective review of these patients, an algorithm was developed to guide the management of midline and lower quadrant abdominal wall defects. Results: Most lower quadrant defects were repaired with tensor fascia lata grafts. Most midline defects were repaired with the component separation technique. Use of a single- or multi-staged repair was based on the extent of infection. Hernia recurrence was 22% over 21 months. 80% of the transplant kidneys were functioning following repair. Conclusion: An algorithm for the repair of abdominal wall defects after kidney transplantation is presented taking into account the location and the extent of infection.
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Li, E.N., Silverman, R.P. & Goldberg, N.H. Incisional Hernia Repair in Renal Transplantation Patients. Hernia 9, 231–237 (2005). https://doi.org/10.1007/s10029-005-0325-y
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DOI: https://doi.org/10.1007/s10029-005-0325-y