Association Between Delayed Graft Function and Incisional Hernia after Renal Transplant

作者：Durinka Joel B; Parsikia Afshin; Karipineni Farah; Campos Stalin; Khanmoradi Khamran; Zaki Radi; Joshi Amit R T; Ortiz Jorge

来源：Experimental and Clinical Transplantation, 2017, 15(1): 27-33.

DOI：10.6002/ect.2015.0263

• Kidney
• Postoperative complications

Objectives: Incisional hernias can occur after any abdominal operation, including after renal transplant. Several risk factors have been identified in non immunosuppressed surgical patients. We aimed tozzidentify whether specific risk factors correlated with the development of incisional hernias after renal transplant. The existence of associations between these risk factors and postoperative complications was also reviewed.
Materials and Methods: We reviewed 969 kidney transplants performed between February 2000 and January 2011. Thirty- nine kidney transplant recipients who were treated with rapamycin were excluded. The following potential risk factors were evalu
0146ated: recipient age, sex, body mass index at transplant, delayed graft function, diabetes, albumin, post operative platelet count, drain placement, donor body mass index, donor type, warm ischemic time, and cold ischemic time. We performed univariate and multivariate logistic regression tests.
Results: In our patient group, a total of 52 (5.4%) transplants were complicated by incisional hernia. On univariate analysis, we found that delayed graft P =.001) and infection (P <.001) were statistically significant predictors for development of incisional hernia. Multivariate analyses revealed that delayed graft function and length of stay remained statistically significant predictors.
Conclusions: Delayed graft function and length of stay are significant predictors of incisional hernia after kidney transplant.

• 出版日期2017-2