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ORIGINAL ARTICLE
Year : 2013  |  Volume : 7  |  Issue : 3  |  Page : 70-73

Incidence of lymphoceles in patients undergoing renal transplantation and the effect of povidone–iodine in treatment


1 Atatürk Research and Educational Hospital, Organ Transplantation Center, Ankara, Turkey
2 Yıldırım Beyazıt University Hospital, Department of General Surgery, Ankara, Turkey

Correspondence Address:
Birkan Bozkurt
Atatürk Research and Educational Hospital, Organ Transplantation Center, Bilkent, Ankara
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.ijt.2013.06.001

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Background: We aimed to determine the incidence of lymphoceles in patients undergoing renal transplantation and the effect of povidone–iodine on lymphoceles. Material and methods: The study included a total of 26 cases (12 females, 14 males; mean age, 40.0 ± 10.1 years) treated with dialysis due to end-stage renal failure and underwent renal transplantation in our hospital between December 2010 and February 2012. Transplantation was performed using a cadaveric donor in 17 of the 26 patients, and a living donor in 9 patients. Post-operative ultrasound examination was performed in all patients on the first and seventh days, and repeated when indicated. Small and asymptomatic collections were followed. Large and symptomatic lesions underwent percutaneous catheter drainage, and daily injections of 10% povidone–iodine (30 mL) were applied for 30 min. Results: Lymphoceles were detected in 6 (23%) of the 26 transplant patients, all of which were treated with povidone–iodine effectively (100% success rate). There was no complications or lymphocele recurrence during three months follow-up. Conclusions: In spite of recent advances in renal transplantation surgery, lymphocele is still a common post-operative complication. Percutaneous sclerotherapy of lymphoceles with povidone–iodine is an easy to perform and effective treatment method without any complications or recurrence.


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