Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Robotic Surgery
- Gastroenterological Surgery
- Colon and Rectal Surgery
- Vascular Surgery
- Orthopaedic Surgery
- Oral and Maxillofacial Surgery
- Surgical Oncology
- Urology
Abstract
Citation: Clin Surg. 2019;4(1):2488.Case Report | Open Access
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
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.
Keywords
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.