Exposed Kidney Transplant Salvage by the Use of Allogeneic Human Acellular Dermal Matrix Graft for Disrupted Abdominal Wall Reconstruction

Sarkozyova N, Breza J, Zilinska Z, Sersenova M and Koller J

Department of Burns and Reconstructive Surgery, Ruzinov Hospital, Slovakia
Department of Urology, Renal Transplantation Center, Derer’s Hospital, Slovakia

^*Correspondance to: Koller J 

 PDF  Full Text DOI: 10.25107/2474-1647.2488

Abstract

This article deals with a case of kidney transplant salvage following repeated post-operative wound dehiscence with extrusion and exposure of the transplanted kidney in 54 years old polymorbid patient. The surgical strategy, aiming to cover the exposed kidney transplant and to close the abdominal cavity, required two surgical interventions. The first one included thorough surgical debridement of the open abdominal wound along with the undermined wound edges followed by temporary coverage of the exposed kidney by human skin allograft. Negative Pressure Wound Therapy (NPWT) system was applied in order to remove the excess discharge from peri-renal space and to enhance granulation tissue formation for wound preparation to final closure. The debrided and prepared wound was closed in the second surgical intervention. It included skin allograft removal and replacement by Allogeneic Acellular Dermal Matrix Graft (ACDG) used for both transplanted kidney protection and replacement/reinforcement of peritoneal and abdominal fascia defects. Following peri-renal and subcutaneous space drainage the abdominal wound was closed and healed within 22 days. At 6 months follow up persisting complete wound closure with firm scar and no abdominal herniation along with good transplanted kidney function have been found.

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Cite the article

Sarkozyova N, Breza J, Zilinska Z, Sersenova M, Koller J. Exposed Kidney Transplant Salvage by the Use of Allogeneic Human Acellular Dermal Matrix Graft for Disrupted Abdominal Wall Reconstruction. Clin Surg. 2019; 4: 2488.