Campioli E, Sikharulidze A, Cenzi LM, Spagnoletti G, Ferraresso M, Favi E. Suture-free polyglactin 910 mesh repair of kidney graft rupture: A case report and review of literature. World J Transplant 2025; 15(4): 105597 [DOI: 10.5500/wjt.v15.i4.105597]
Corresponding Author of This Article
Evaldo Favi, MD, PhD, Associate Professor, Department of General Surgery and Kidney Transplantation, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza n. 28, Milan 20122, Lombardy, Italy. evaldofavi@gmail.com
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Transplantation
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Case Report
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Dec 18, 2025 (publication date) through Nov 19, 2025
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World Journal of Transplantation
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2220-3230
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Campioli E, Sikharulidze A, Cenzi LM, Spagnoletti G, Ferraresso M, Favi E. Suture-free polyglactin 910 mesh repair of kidney graft rupture: A case report and review of literature. World J Transplant 2025; 15(4): 105597 [DOI: 10.5500/wjt.v15.i4.105597]
World J Transplant. Dec 18, 2025; 15(4): 105597 Published online Dec 18, 2025. doi: 10.5500/wjt.v15.i4.105597
Suture-free polyglactin 910 mesh repair of kidney graft rupture: A case report and review of literature
Edoardo Campioli, Anna Sikharulidze, Lavinia M Cenzi, Gionata Spagnoletti, Mariano Ferraresso, Evaldo Favi
Edoardo Campioli, Lavinia M Cenzi, Mariano Ferraresso, Evaldo Favi, Department of General Surgery and Kidney Transplantation, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan 20122, Lombardy, Italy
Anna Sikharulidze, Department of Nephrology, Dialysis and Kidney Transplantation, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan 20122, Lombardy, Italy
Gionata Spagnoletti, Department of Hepato-Biliary-Pancreatic Surgery, Liver and Kidney Transplantation, Bambino Gesù Children’s Hospital IRCCS, Rome 00165, Lazio, Italy
Mariano Ferraresso, Evaldo Favi, Department of Clinical Sciences and Community Health, Department of Excellence 2023-2027, Università degli Studi di Milano, Milan 20122, Lombardy, Italy
Author contributions: Campioli E contributed to the collection of data for the manuscript; Favi E made an executive procedural contribution to the manuscript; Campioli E, Sikharulidze A, and Cenzi LM reviewed the literature; Campioli E, Sikharulidze A, and Favi E drafted the manuscript; Sikharulidze A and Cenzi LM edited; Spagnoletti G, Ferraresso M, and Favi E made strict modifications; Ferraresso M and Favi E gave final approval; Ferraresso M and Favi E made conceptual contributions to the manuscript; Cenzi LM and Spagnoletti G conducted a literature analysis.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Evaldo Favi, MD, PhD, Associate Professor, Department of General Surgery and Kidney Transplantation, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza n. 28, Milan 20122, Lombardy, Italy. evaldofavi@gmail.com
Received: January 30, 2025 Revised: March 23, 2025 Accepted: April 15, 2025 Published online: December 18, 2025 Processing time: 294 Days and 17.8 Hours
Core Tip
Core Tip: Spontaneous kidney graft rupture represents a life-threatening surgical complication, typically presenting with abdominal pain, impaired renal function, and shock. Contrast-enhanced computed tomography scan is the gold standard imaging modality for diagnosis, while aggressive resuscitation and prompt surgical exploration are key factors for optimized recipient and transplant outcomes. For many years, first-line graft nephrectomy has been considered the standard of care. However, there is now evidence supporting a more conservative approach. Indeed, recent reports show that suture-free repair offers several advantages over direct suturing and extended graft manipulation. We describe a case successfully repaired with sealants application and resorbable mesh wrapping.
