Skip to main content

Advertisement

SpringerLink
Log in

Renal paratransplant hernia revealed: a review of the literature

  • Review
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

Background

Renal paratransplant hernia (RPH) is an uncommon variant of internal hernias developed in renal transplant recipients. The aim of this review is to meticulously present and analyze all data coming mainly from case reports or short-case studies on this very uncommon surgical entity.

Materials and methods

The MEDLINE/PubMed database was searched for publications with the medical subject heading ‘‘renal paratransplant hernia’’. All the references from the identified articles were searched for relevant information. The end date of the literature search was set to March 2016.

Results

Our search revealed five publications, three short clinical series (three cases each) and two case reports. The total number of cases retrieved was 11. RPH should be considered as an iatrogenic surgical complication. The incidence is around 0.45%.

Conclusions

RPH is a relatively uncommon but potentially fatal complication after renal transplantation, and its non-specific symptoms may lead to misdiagnosis. Physician awareness, prompt diagnosis, and early surgical intervention are critical. In addition, meticulous surgical technique during transplantation may help avoid this complication.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Humar A, Ramcharan T, Denny R, Gillingham KJ, Payne WD, Matas AJ (2001) Are wound complications after a kidney transplant more common with modern immunosuppression? Transplantation 72(12):1920–1923

    Article  CAS  PubMed  Google Scholar 

  2. Li EN, Silverman RP, Goldberg NH (2005) Incisional hernia repair in renal transplantation patients. Hernia: the journal of hernias and abdominal wall surgery 9(3):231–237. doi:10.1007/s10029-005-0325-y

    Article  Google Scholar 

  3. Varga M, Matia I, Kucera M, Oliverius M, Adamec M (2011) Polypropylene mesh repair of incisional hernia after kidney transplantation: single-center experience and review of the literature. Annals of transplantation 16(3):121–125

    Article  CAS  PubMed  Google Scholar 

  4. Luc G, David A, Couzi L, Midy D, Collet D, Dubuisson V (2014) Lateral incisional hernia after renal transplantation: a comparative study. World J Surg 38(11):2791–2796. doi:10.1007/s00268-014-2689-6

    Article  PubMed  Google Scholar 

  5. Gao Z, Zhao J, Sun D, Yang D, Wang L, Shi L (2011) Renal paratransplant hernia: a surgical complication of kidney transplantation. Langenbeck’s archiv surg/Dtsch Ges fur Chir 396(3):403–406. doi:10.1007/s00423-010-0648-8

    Article  Google Scholar 

  6. Kyriakides GK, Simmons RL, Buls J, Najarian JS (1978) “Paratransplant” hernia. Three patients with a new variant of internal hernia. Am J Surg 136(5):629–630

    Article  CAS  PubMed  Google Scholar 

  7. Cascales-Sanchez P, Martinez-Moreno A, Vazquez-Aragon P, Miota-De Llama JI, Gallego-Valcarcel E, Llamas-Fuentes F, Moreno-Resina JM (2007) Renal paratransplant hernia: an unusual complication of renal transplantation? Transpl Proc 39(7):2267–2268. doi:10.1016/j.transproceed.2007.06.057

    Article  CAS  Google Scholar 

  8. Di Cocco P, Kandilis A, Rajagopal P, Hakim N (2015) Paratransplant hernia: a true emergency after renal transplant. Exp Clin Transplant 13(4):363–364. doi:10.6002/ect.2014.0027

    PubMed  Google Scholar 

  9. Moris D, Vernadakis S (2014) Renal paratransplant hernia. An uncommon variant of internal hernia. Are we aware of it? Transplantation 97(11):e65–e66. doi:10.1097/TP.0000000000000162

    Article  PubMed  Google Scholar 

  10. Barlas A, Moris D, Zavos G (2014) Shortening a carrel patch in a graft with multiple arteries: a step-by-step technical analysis. Exp Clin Transplant. doi:10.6002/ect.2014.0202

    PubMed  Google Scholar 

  11. Barlas A, Moris D, Bokos J, Zavos G (2014) A forgotten vascular technique in renal transplantation. Vasc Endovasc Surg 48(3):281–282. doi:10.1177/1538574413518116

    Article  Google Scholar 

  12. Garcia-Urena MA, Rodriguez CR, Vega Ruiz V, Carnero Hernandez FJ, Fernandez-Ruiz E, Vazquez Gallego JM, Velasco Garcia M (2006) Prevalence and management of hernias in peritoneal dialysis patients. Perit dial int 26(2):198–202

    PubMed  Google Scholar 

  13. Hong SS, Kim AY, Kim PN, Lee MG, Ha HK (2005) Current diagnostic role of CT in evaluating internal hernia. J Comput Assist Tomogr 29(5):604–609

    Article  PubMed  Google Scholar 

  14. Pickleman J, Lee RM (1989) The management of patients with suspected early postoperative small bowel obstruction. Ann Surg 210(2):216–219

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Hau T, Van Hook EJ, Simmons RL, Najarian JS (1978) Prognostic factors of peritoneal infections in transplant patients. Surgery 84(3):403–416

    CAS  PubMed  Google Scholar 

  16. Mamarelis G, Vernadakis S, Moris D, Altanis N, Perdikouli M, Stravodimos K, Pappas P, Zavos G (2014) Lithiasis of the renal allograft, a rare urological complication following renal transplantation: a single-center experience of 2045 renal transplantations. Transpl Proc 46(9):3203–3205. doi:10.1016/j.transproceed.2014.09.166

    Article  CAS  Google Scholar 

  17. Buresley S, Samhan M, Moniri S, Codaj J, Al-Mousawi M (2008) Postrenal transplantation urologic complications. Transpl Proc 40(7):2345–2346. doi:10.1016/j.transproceed.2008.06.036

    Article  CAS  Google Scholar 

  18. Fathi T, Samhan M, Gawish A, Donia F, Al-Mousawi M (2007) Renal allograft venous thrombosis is salvageable. Transpl Proc 39(4):1120–1121. doi:10.1016/j.transproceed.2007.03.043

    Article  CAS  Google Scholar 

  19. Dimitroulis D, Bokos J, Zavos G, Nikiteas N, Karidis NP, Katsaronis P, Kostakis A (2009) Vascular complications in renal transplantation: a single-center experience in 1367 renal transplantations and review of the literature. Transpl Proc 41(5):1609–1614. doi:10.1016/j.transproceed.2009.02.077

    Article  CAS  Google Scholar 

  20. Frager DH, Baer JW, Rothpearl A, Bossart PA (1995) Distinction between postoperative ileus and mechanical small-bowel obstruction: value of CT compared with clinical and other radiographic findings. AJR Am J Roentgenol 164(4):891–894. doi:10.2214/ajr.164.4.7726042

    Article  CAS  PubMed  Google Scholar 

  21. Woeste G, Juratli MA, Habbe N, Hannes S, El Youzouri H, Bechstein WO, Trombetta F, Moscato R, Ciamporcero T, Ghiglione F, Morino M, Tahir S, Baldjiev T, Goshev G, Pachoov N, Eftimov E, Kovachevski S, Smirnoff A, Roth JS, Wennergren J, Plymale MA, Zachem A, Davenport DL, Mangiante G, Passeri V, deManzoni G, Kaufmann R, Jairam AP, Mulder IM, Wu Z, Verhelst J, Vennix S, Giessen LJ, Jeekel J, Lange JF, Di Cerbo F, Ikhlawi K, Baladov M, Agha A, Iesalnieks I, Franklin M, Hernandez M, Glass J, Glover M, Gruber-Blum S, Fortelny R, May C, Glaser K, Redl H, Petter-Puchner A, Grossi J, Cavazzola LT, Tezza SL, Nery LA, Zortea J, Roll S, Gorganchian F, Santa Maria V, Zuvela M, Galun D, Petrovic J, Micev M, Palibrk I, Bidzic N, Colozzi S, Clementi M, Cianca G, Giuliani A, Carlei F, Schietroma M, Amicucci G, Chung M, Cerasani N, Meyer J, Bulian DR, Heiss MM, Kocaay AF, Eker T, Celik SU, Akyol C, Cakmak A (2015) Topic: abdominal wall hernia—abdominal wall closure. Hernia 19(Suppl 1):S198–S205. doi:10.1007/BF03355349

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Transplantation Unit, Laikon General Hospital, Agiou Thoma 17 Street, Athens, Greece

    D. Moris, J. Bokos, M. Vailas, K. Kakavia, E. Spartalis, A. Athanasiou, D. Schizas & S. Vernadakis

Authors
  1. D. Moris
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. Bokos
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Vailas
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K. Kakavia
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. E. Spartalis
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. A. Athanasiou
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. D. Schizas
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. S. Vernadakis
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to D. Moris.

Ethics declarations

Conflict of interest

All authors declare no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

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

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Moris, D., Bokos, J., Vailas, M. et al. Renal paratransplant hernia revealed: a review of the literature. Hernia 21, 363–367 (2017). https://doi.org/10.1007/s10029-016-1551-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-016-1551-1

Keywords

Search

Navigation