Comparing the Effect of Electrocutery versus Suture-Ligation of Iliac LymphaticVesselson the Appearance of Lymphocele around the Transplant Kidney

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Objective: The End-Stages of Renal Disease or ESRD require kidney replacement therapy.The amount of ESRD prevalence is ever increasing and is growing at 11 to 15 percent in Iran.The best therapy is the replacement of kidney transplantation. The appearance of urologic complications is an important cause of morbidity in patients with kidney transplantation. To prevent the formation of postoperative lynphocele, researchers have suggested that the ligation of lymphatic vessels is effective. Materials and Methods: the primary aim of this study isto study the effect of performing ligation of lymphtic vessels in patients receiving kidney. The patients were divided into two ligation and electrocutery groups and the rate of urological complications in both related groups were evaluated through frequent visits and examination of patients and performing urine, biochemistry and ultrasonography tests during the hospital stay and then, as outpatients for six months after transplant and obtained results were compared with each other . Results: In our study, there was not observed any significant difference between groups in terms of sex, BMI and also the mean age of patients. The amount of hydronephrosis had almost no difference in both groups in the second week, the second and sixth months. In every three times of weekly and monthly control of collection, there was not observed any significant differences between groups again. In this study, 6.9% patients in the electrocutery group and 10.7% patients in Ligation group required draining the fluid around the kidney and this difference does not show statistically significant differences. In terms of wound infection, no case of wound infection was observed in the electrocutery patients but in Ligation group, there was 1 patient suffering from wound infection (1.8 %), however, there were no significant differences between groups in terms of infection. Conclusions: the electrocoagulation of iliac lymphatic vessels can be expressed as an alternative method in the ligation of lymphatic vessels. It seems that this method is accompanied withthe reduction of surgicaltime butit was not related to postoperative complications, increasing in incidence of lymphocele and needing for

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