A case report of a difficult dissection of the iliac vessels conducted by means of the harmonic scalpel during a kidney transplantation

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Abstract

Background. The “difficult” preparation of iliac vessels in thekidney transplant recipient caused by a perivascular fibrosis withsatellite lymphadenopathy is sometimes burdened by post-transplantcomplications (lymphocele, seroma and hematoma). Both iliac vascularadhesions and satellite lymphoadenopaty are often due to reiteratefemoral cannulation aimed to hemodialysis.Patients and Methods: The case report concerns a 60 years oldfemale uremic patient, on dialysis for about 4 years with perivascularfibrosis and pelvic lymphadenopathy caused by bilateral femoralartery catheterization. In the course of kidney transplant, preparationof the iliac vessels was performed by ultrasonic scalpel. In the casewe handled there was no incidence of immediate, medium and longterm post operative complications, with a considerable reduction of theoperative time in the vascular dissection performed without ligation.Often the long dialytic period, the same nephropathy, reiterative femoralcatheterization determine perivascular fibrosis and/or consensuallymphadenopathy. In these cases, in light of initial experience, theuse of ultrasonic scalpel enables easy dissection by the coagulativesynthesis not only of vascular compartment but also of the lymphaticduct whose leakage, particularly in these cases, creates a favourablecondition to hematoma and / or lymphocele formation. These complications,although rarely jeopardize patient’s life, however, may affectthe outcome of transplantation in terms of morbidity and survival ofthe organ. The use of ultrasonic scalpel ensures total control of vascularand lymphatic compartment coagulation, alongside a reduction in thetime of surgical dissection.
Original languageEnglish
Pages (from-to)227-229
Number of pages3
JournalLA CLINICA TERAPEUTICA
Volume162
Publication statusPublished - 2011

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Ultrasonics
Lymphocele
Kidney Transplantation
Dissection
Catheterization
Hematoma
Blood Vessels
Fibrosis
Seroma
Tissue Survival
Ligation
Renal Dialysis
Dialysis
Transplantation
Morbidity
Transplants
Kidney
Incidence
Lymphadenopathy
Transplant Recipients

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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@article{90f5d9b6eba940499535fcbfe5776e41,
title = "A case report of a difficult dissection of the iliac vessels conducted by means of the harmonic scalpel during a kidney transplantation",
abstract = "Background. The “difficult” preparation of iliac vessels in thekidney transplant recipient caused by a perivascular fibrosis withsatellite lymphadenopathy is sometimes burdened by post-transplantcomplications (lymphocele, seroma and hematoma). Both iliac vascularadhesions and satellite lymphoadenopaty are often due to reiteratefemoral cannulation aimed to hemodialysis.Patients and Methods: The case report concerns a 60 years oldfemale uremic patient, on dialysis for about 4 years with perivascularfibrosis and pelvic lymphadenopathy caused by bilateral femoralartery catheterization. In the course of kidney transplant, preparationof the iliac vessels was performed by ultrasonic scalpel. In the casewe handled there was no incidence of immediate, medium and longterm post operative complications, with a considerable reduction of theoperative time in the vascular dissection performed without ligation.Often the long dialytic period, the same nephropathy, reiterative femoralcatheterization determine perivascular fibrosis and/or consensuallymphadenopathy. In these cases, in light of initial experience, theuse of ultrasonic scalpel enables easy dissection by the coagulativesynthesis not only of vascular compartment but also of the lymphaticduct whose leakage, particularly in these cases, creates a favourablecondition to hematoma and / or lymphocele formation. These complications,although rarely jeopardize patient’s life, however, may affectthe outcome of transplantation in terms of morbidity and survival ofthe organ. The use of ultrasonic scalpel ensures total control of vascularand lymphatic compartment coagulation, alongside a reduction in thetime of surgical dissection.",
author = "Giuseppe Damiano and Gioviale, {Maria Concetta} and Palumbo, {Vincenzo Davide} and Giuseppe Buscemi and Francesco Cacciabaudo and {Lo Monte}, {Attilio Ignazio} and Salvatore Buscemi and Carolina Maione and Gabriele Spinelli and Maurizio Bellavia",
year = "2011",
language = "English",
volume = "162",
pages = "227--229",
journal = "LA CLINICA TERAPEUTICA",
issn = "0009-9074",

}

TY - JOUR

T1 - A case report of a difficult dissection of the iliac vessels conducted by means of the harmonic scalpel during a kidney transplantation

AU - Damiano, Giuseppe

AU - Gioviale, Maria Concetta

AU - Palumbo, Vincenzo Davide

AU - Buscemi, Giuseppe

AU - Cacciabaudo, Francesco

AU - Lo Monte, Attilio Ignazio

AU - Buscemi, Salvatore

AU - Maione, Carolina

AU - Spinelli, Gabriele

AU - Bellavia, Maurizio

PY - 2011

Y1 - 2011

N2 - Background. The “difficult” preparation of iliac vessels in thekidney transplant recipient caused by a perivascular fibrosis withsatellite lymphadenopathy is sometimes burdened by post-transplantcomplications (lymphocele, seroma and hematoma). Both iliac vascularadhesions and satellite lymphoadenopaty are often due to reiteratefemoral cannulation aimed to hemodialysis.Patients and Methods: The case report concerns a 60 years oldfemale uremic patient, on dialysis for about 4 years with perivascularfibrosis and pelvic lymphadenopathy caused by bilateral femoralartery catheterization. In the course of kidney transplant, preparationof the iliac vessels was performed by ultrasonic scalpel. In the casewe handled there was no incidence of immediate, medium and longterm post operative complications, with a considerable reduction of theoperative time in the vascular dissection performed without ligation.Often the long dialytic period, the same nephropathy, reiterative femoralcatheterization determine perivascular fibrosis and/or consensuallymphadenopathy. In these cases, in light of initial experience, theuse of ultrasonic scalpel enables easy dissection by the coagulativesynthesis not only of vascular compartment but also of the lymphaticduct whose leakage, particularly in these cases, creates a favourablecondition to hematoma and / or lymphocele formation. These complications,although rarely jeopardize patient’s life, however, may affectthe outcome of transplantation in terms of morbidity and survival ofthe organ. The use of ultrasonic scalpel ensures total control of vascularand lymphatic compartment coagulation, alongside a reduction in thetime of surgical dissection.

AB - Background. The “difficult” preparation of iliac vessels in thekidney transplant recipient caused by a perivascular fibrosis withsatellite lymphadenopathy is sometimes burdened by post-transplantcomplications (lymphocele, seroma and hematoma). Both iliac vascularadhesions and satellite lymphoadenopaty are often due to reiteratefemoral cannulation aimed to hemodialysis.Patients and Methods: The case report concerns a 60 years oldfemale uremic patient, on dialysis for about 4 years with perivascularfibrosis and pelvic lymphadenopathy caused by bilateral femoralartery catheterization. In the course of kidney transplant, preparationof the iliac vessels was performed by ultrasonic scalpel. In the casewe handled there was no incidence of immediate, medium and longterm post operative complications, with a considerable reduction of theoperative time in the vascular dissection performed without ligation.Often the long dialytic period, the same nephropathy, reiterative femoralcatheterization determine perivascular fibrosis and/or consensuallymphadenopathy. In these cases, in light of initial experience, theuse of ultrasonic scalpel enables easy dissection by the coagulativesynthesis not only of vascular compartment but also of the lymphaticduct whose leakage, particularly in these cases, creates a favourablecondition to hematoma and / or lymphocele formation. These complications,although rarely jeopardize patient’s life, however, may affectthe outcome of transplantation in terms of morbidity and survival ofthe organ. The use of ultrasonic scalpel ensures total control of vascularand lymphatic compartment coagulation, alongside a reduction in thetime of surgical dissection.

UR - http://hdl.handle.net/10447/115999

M3 - Article

VL - 162

SP - 227

EP - 229

JO - LA CLINICA TERAPEUTICA

JF - LA CLINICA TERAPEUTICA

SN - 0009-9074

ER -