OMENTOPEXY FOR THE DIFFICULT PERIGRAFT LYMPHOCELE AFTER RENAL-TRANSPLANTATION

Between January 1977 and October 1992, 6 patients who had undergone re nal transplantation presented with a symptomatic lymphocele that faile d to resolve after conventional therapy and eventually required surgic al intervention. This complication developed between 7 and 36 months p ostoperatively. Patients presented with local discomfort combined with deteriorating graft function caused by ureteric obstruction. The lymp hoceles recurred after aspiration or external drainage and resolved af ter omentopexy. We conclude that omentopexy is a satisfactory procedur e for the treatment of lymphoceles which fail to resolve after aspirat ion or external drainage.