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International Urology and Nephrology

, Volume 32, Issue 4, pp 709–711 | Cite as

Morbidity of flank incision in 100 renal donors

  • Yıldırım Bayazıt
  • İ Atilla Arıdoğan
  • Zühtü Tansuğ
  • İlker Ünsal
  • Uğur Erken
Article

Abstract

Objective: The purpose of this study is to determine the morbidity of lumbotomy incision used in the last 100 living related donor nephrectomies retrospectively. Methods: Since March 1991, 100 donor nephrectomies were made to living donors with lumbar incision. Incisions made in lateral decubitus position, subcostally or by an 11th or 12th rib resection. Left nephrectomy to 83, and right nephrectomy to 17 donors was performed. In 2 patients, there had been a peritoneal defect which was closed with primary sutures. In 19 patients 3 cm or shorter and in 5 patients longer than 3 cm of pleural entry had occurred. In all of the patients laceration was repaired without placement of a chest tube, however a chest tube had to be placed in 2 donors after obtaining a control chest x-ray postoperatively. Results: All the patients mobilized and began to take orally in the first post-operative day. Wound infection, pneumonia and deep vein thrombosis had detected in none of the patients. The patients were discharged on the4th and 5th postoperative day. During their control after 1 month from the operation it was found that all of them had returned to their daily life. In the postoperative period incisional hernia occurred in 7 patients which didn't need surgical repair and none of them complained of cosmetic problem. There was no any other late term complication was seen due to flank incision. Conclusion: Lumbotomy incision in donor nephrectomy, either a rib resection or supracostal approach, is reliable, provides excellent exposure for surgeon and has minimal morbidity.

Flank Incision Morbidity Renal donor 

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References

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    Ratner LE, Kavoussi LR, Schulam PG, Bender JS, Magnuson TH, Montgomery R. Comparison of laparoscopic live donor nephrectomy versus the standard open approach. Transplant Proc 1997; 29: 138–139.PubMedCrossRefGoogle Scholar
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Copyright information

© Kluwer Academic Publishers 2001

Authors and Affiliations

  • Yıldırım Bayazıt
    • 1
    • 2
  • İ Atilla Arıdoğan
    • 1
    • 2
  • Zühtü Tansuğ
    • 1
    • 2
  • İlker Ünsal
    • 1
    • 2
  • Uğur Erken
    • 1
    • 2
  1. 1.Faculty of Medicine, Department of UrologyUniversity of ÇukurovaAdanaTurkey
  2. 2.University of Çukurova Organ Transplantation CenterAdanaTurkey

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