Iatrogenic Ureteral Injury During Incisional Hernia Repair in a Kidney Recipient

Mutlu Unver, Ozgur Firat, Taylan Ozgur Sezer, Cuneyt Hoscoskun

Abstract


Incisional hernia is not a rare complication in kidney allograft recipients, due to prolonged dialysis, immunosuppressive drugs, especially, corticosteroids, and high prevalence of diabetes mellitus. Although the use of immunosuppressive drugs increases the risk of infection with synthetic materials, using mesh to prevent hernia recurrence in patients with multiple predisposing factors is safe and necessary. Repeated surgeries cause pathological distortion of anatomy which prevents the intraoperative visibility of the ureter and increases the risk of injury. In the present case, we report a very rare ureteric injury in a patient who underwent incisional hernia repair with propylene mesh after renal transplantation.




J Curr Surg. 2017;7(1-2):20-22
doi: https://doi.org/10.14740/jcs310w

Keywords


Ureteral injury; Incisional hernia; Kidney recipient; Mesh

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