Panniculectomy at the time of living donor renal transplantation: An 8-year experience

Ledibabari M. Ngaage, Adekunle Elegbede, Kashyap K. Tadisina, Selim G. Gebran, Brian M. Masters, Erin M. Rada, Arthur J. Nam, Joseph R. Scalea, Silke V. Niederhaus, Devinder Singh, Jonathan S. Bromberg, Stephen T. Bartlett, Yvonne M. Rasko

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Panniculectomy can be performed as a prophylactic procedure preceding transplantation to enable obese patients to meet criteria for renal transplantation. No literature exists on combined renal transplant and panniculectomy surgery (LRT-PAN). We describe our 8-year experience performing LRT-PAN. A retrospective chart review of all patients who had undergone LRT-PAN from 2010 to 2018 was conducted. Data were collected on patient demographics, allograft survival and function, and postoperative course. Fifty-eight patients underwent LRT-PAN. All grafts survived, with acceptable function at 1 year. Median length of stay was 4 days with a mean operative duration of 363 minutes. The wound complication rate was 24%. Ninety-day readmission rate was 52%, with medical causes as the most common reason for readmission (45%), followed by wound (32%) and graft-related complications (23%). Body mass index, diabetes status, and previous immunosuppression did not influence wound complication rate or readmission (P =.7720, P =.0818, and P =.4830, respectively). Combining living donor renal transplant and panniculectomy using a multidisciplinary team may improve access to transplantation, particularly for the obese and postobese population. This combined approach yielded shorter-than-expected hospital stays and similar wound complication rates, and thus should be considered for patients in whom transplantation might otherwise be withheld on the basis of obesity.

Original languageEnglish (US)
Pages (from-to)2284-2293
Number of pages10
JournalAmerican Journal of Transplantation
Volume19
Issue number8
DOIs
StatePublished - Aug 2019
Externally publishedYes

Keywords

  • clinical research/practice
  • kidney transplantation/nephrology
  • kidney transplantation: living donor/
  • obesity
  • surgical technique

ASJC Scopus subject areas

  • Immunology and Allergy
  • Transplantation
  • Pharmacology (medical)

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