OBJECTIVE: To describe our experience with ultrasonic-guided instillation of povidone-iodine to treat post-kidney transplantation lymphocele. Patients and methods. We studied the safety and efficacy of this procedure for treatment of lymphocele in 6 male kidney transplanted recipients in which we assisted a progressive increase of creatinine and urinary proteins levels and color-Doppler ultrasonography demonstrated an increase (25,4%) of index of resistence (IR) Using eco-colorDoppler, the related-graft lymphocele location and the distance to the anterior abdominal wall were determined; then, a radiopaque double-lumen catheter was used to instillate 5% povidone-iodine 10 ml. Results. Percutaneous drainage achieved a resolution rate of 100%. Studying the rate of peripheral and internal vascularization of the kidney before and after treatment, eco-colorDoppler showed a significant decrease of the IR (24,6%). Conclusions. The US-guided povidone-iodine instillation for treatment of lymphocele following renal transplantation may be considered as first choice therapy in such disease.

Damiano, G., Lombardo, C., Palumbo, V.D., Buffa, D., Maione, C., Gioviale, M.C., et al. (2011). A simple method to treat post-kydney transplantation lymphocele. IL GIORNALE DI CHIRURGIA, 32(1/2), 73-76.

A simple method to treat post-kydney transplantation lymphocele

DAMIANO, Giuseppe;PALUMBO, Vincenzo Davide;BUFFA, Daniela Anna;GIOVIALE, Maria Concetta;CACCIABAUDO, Francesco;SPINELLI, Gabriele;LO MONTE, Attilio Ignazio
2011

Abstract

OBJECTIVE: To describe our experience with ultrasonic-guided instillation of povidone-iodine to treat post-kidney transplantation lymphocele. Patients and methods. We studied the safety and efficacy of this procedure for treatment of lymphocele in 6 male kidney transplanted recipients in which we assisted a progressive increase of creatinine and urinary proteins levels and color-Doppler ultrasonography demonstrated an increase (25,4%) of index of resistence (IR) Using eco-colorDoppler, the related-graft lymphocele location and the distance to the anterior abdominal wall were determined; then, a radiopaque double-lumen catheter was used to instillate 5% povidone-iodine 10 ml. Results. Percutaneous drainage achieved a resolution rate of 100%. Studying the rate of peripheral and internal vascularization of the kidney before and after treatment, eco-colorDoppler showed a significant decrease of the IR (24,6%). Conclusions. The US-guided povidone-iodine instillation for treatment of lymphocele following renal transplantation may be considered as first choice therapy in such disease.
Settore MED/18 - Chirurgia Generale
Damiano, G., Lombardo, C., Palumbo, V.D., Buffa, D., Maione, C., Gioviale, M.C., et al. (2011). A simple method to treat post-kydney transplantation lymphocele. IL GIORNALE DI CHIRURGIA, 32(1/2), 73-76.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/71087
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