PubMedDate not supplied
OBJECTIVE: To describe the results of treatment of posttransplant lymphoceles by marsupialization through a mini-laparotomy. METHODS: From March 1996 to May 1998, 7 patients with a symptomatic lymphocele that had not been resolved by conservative treatment with drainage and povidone-iodine sclerosis underwent internal marsupialization to the peritoneal cavity through a minilaparotomy. RESULTS: All patients showed a good postoperative course and were discharged two days after the procedure. Recent US scans of 5 patients showed a renal graft with a normal appearance and no perineal collections. Two patients had a recurrence; one of them was symptomatic and required another treatment. Drainage and povidone-iodine sclerosis resolved this condition. CONCLUSIONS: Marsupialization through a mini-laparotomy is an alternative to the laparoscopic approach and does not require new instruments or learning a new technique.