Transplantation Direct (Sep 2022)

Challenges in the Management of Kidney Allograft Herniation With a Single-stage Pedicled Anterolateral Thigh Flap

  • Ruggero Bevilacqua, MD,
  • Richard Tee, MBBS, PhD, FRACS (Plast),
  • Andres Rodriguez-Lorenzo, MD, PhD,
  • Tomas Lorant, MD, PhD,
  • Pål F. Jørgensen, MD, PhD

DOI
https://doi.org/10.1097/TXD.0000000000001362
Journal volume & issue
Vol. 8, no. 9
p. e1362

Abstract

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Wound complications are the most common surgical complication after kidney allograft transplantation. Total wound rupture exposing the entire kidney is a rare and not well-described event. We present a successful treatment of this complication in a patient admitted to our unit. A single-stage procedure was performed combining debridement and reconstruction with a pedicled anterolateral thigh flap and an iliotibial band transferring. A short literature review is performed comparing the different treatment strategies and results.