Laparoscopic Management of Renal Paratransplant Hernia
ABSTRACT
A renal paratransplant hernia is an unusual and potentially serious variant of an internal hernia. It is caused by entrapment of bowel through a defect in the peritoneum adjacent to the transplanted kidney. Abdominal pain and vomiting with or without distention are the main symptoms. Prompt diagnosis and early surgical intervention are critical to prevent serious morbidity and even mortality. Historically, renal paratransplant hernias were repaired via an exploratory laparotomy. We present our experience in two patients with renal paratransplant hernia who were treated with laparoscopic repair.
Cite this paper
Yoder, D. and Ghasemian, R. (2015) Laparoscopic Management of Renal Paratransplant Hernia. International Journal of Clinical Medicine, 6, 60-63. doi: 10.4236/ijcm.2015.61009.
Yoder, D. and Ghasemian, R. (2015) Laparoscopic Management of Renal Paratransplant Hernia. International Journal of Clinical Medicine, 6, 60-63. doi: 10.4236/ijcm.2015.61009.
References
[1] Kyriakides, G.K., et al. (1978) “Paratransplant” Hernia: Three Patients with a New Variant of Internal Hernia. The American Journal of Surgery, 136, 629-630.
http://dx.doi.org/10.1016/0002-9610(78)90323-9 [2] Gao, Z.L., et al. (2011) Renal Paratransplant Hernia: A Surgical Complication of Kidney Transplantation. Langenbeck’s Archives of Surgery, 396, 403-406. [3] McIver, M.A. (1933) Acute Intestinal Obstruction. The American Journal of Surgery, 19, 163.
http://dx.doi.org/10.1016/S0002-9610(33)90498-5 [4] Khanna, A., et al. (1997) Internal Hernia and Volvulus of the Small Bowel Following Liver Transplantation. Transplant International, 10, 133-136. [5] Cascales-Sanchez, P., et al. (2007) Renal Paratransplant Hernia: An Unusual Complication of Renal Transplantation? Transplantation Proceedings, 39. [6] Mazzucchi, E., et al. (2001) Incisional Hernia and Its Repair with Polypropylene Mesh in Renal Transplant Recipients. The Journal of Urology, 166, 816-819.
http://dx.doi.org/10.1016/S0022-5347(05)65843-0 [7] Shrestha, B.M., et al. (2007) Vacuum-Assisted Closure (VAC) Therapy in the Management of Wound Infection Following Renal Transplantation.
[1] Kyriakides, G.K., et al. (1978) “Paratransplant” Hernia: Three Patients with a New Variant of Internal Hernia. The American Journal of Surgery, 136, 629-630.
http://dx.doi.org/10.1016/0002-9610(78)90323-9 [2] Gao, Z.L., et al. (2011) Renal Paratransplant Hernia: A Surgical Complication of Kidney Transplantation. Langenbeck’s Archives of Surgery, 396, 403-406. [3] McIver, M.A. (1933) Acute Intestinal Obstruction. The American Journal of Surgery, 19, 163.
http://dx.doi.org/10.1016/S0002-9610(33)90498-5 [4] Khanna, A., et al. (1997) Internal Hernia and Volvulus of the Small Bowel Following Liver Transplantation. Transplant International, 10, 133-136. [5] Cascales-Sanchez, P., et al. (2007) Renal Paratransplant Hernia: An Unusual Complication of Renal Transplantation? Transplantation Proceedings, 39. [6] Mazzucchi, E., et al. (2001) Incisional Hernia and Its Repair with Polypropylene Mesh in Renal Transplant Recipients. The Journal of Urology, 166, 816-819.
http://dx.doi.org/10.1016/S0022-5347(05)65843-0 [7] Shrestha, B.M., et al. (2007) Vacuum-Assisted Closure (VAC) Therapy in the Management of Wound Infection Following Renal Transplantation.