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BMC Surgery
Published in: BMC Surgery 1/2019

Open Access 01-12-2019 | Wound Dehiscence | Research article

Abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit

Authors: Ngee-Soon Lau, Nima Ahmadi, Deborah Verran

Published in: BMC Surgery | Issue 1/2019

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Abstract

Background

Abdominal wall surgical site complications following renal transplantation can be challenging to manage. A sub-group of these recipients will require operative management or advanced wound care such as negative pressure wound therapy (NPWT). The aim of this study was to determine if there were any preoperative, intraoperative and postoperative characteristics in our recipients’ cohort which were associated with the requirement for such interventions.

Methods

A retrospective review of medical records was performed for all recipients who sustained abdominal wall complications following renal transplantation at our centre from 2006 to 2016.

Results

A total of 64/828 recipients (7.7%) had abdominal wall complications. The mean weight for these patients was 84.9 kg (±16.6 kg) and the mean body mass index was 30.2 (±5.1). Forty-five recipients (70%) had a superficial wound dehiscence while nine (14%) had a complete fascial dehiscence. Operative intervention was required in 13/64 patients (20%) and was more likely to be required in the presence of a fascial dehiscence (9/9, 100%) or a wound collection (10/31, 32%) (p < 0.001, p = 0.021). NPWT was used in 17/64 patients (27%) and was more commonly required in patients with diabetes mellitus (10/24, 42%), a complete fascial dehiscence (5/9, 56%) or evidence of infection (16/44, 36%) (p = 0.039, p = 0.034, p = 0.008).

Conclusions

The requirement for either operative management or the use of NPWT in the management of abdominal wall complications following renal transplantation in our experience was more common in recipients with diabetes mellitus, and in the setting of either complete fascial dehiscence, abdominal wall wound collections and/ or infection.
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Metadata
Title
Abdominal wall complications following renal transplantation in adult recipients – factors associated with interventional management in one unit
Authors
Ngee-Soon Lau
Nima Ahmadi
Deborah Verran
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2019
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-019-0468-x

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