Laparoscopic Management of Renal Paratransplant Hernia

Duncan Yoder, Reza Ghasemian

Medstar Georgetown Transplant Institute, Washington DC, USA.

DOI: 10.4236/ijcm.2015.61009                

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.

Keywords

Renal Transplant, Hernia, Paratransplant Hernia, Laparoscopic Repair

Conflicts of Interest

The authors declare no conflicts of interest.

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.