Suture-free polyglactin 910 mesh repair of kidney graft rupture: A case report and review of literature

Figure 1 Urgent abdominal contrast-enhanced computed tomography scan. A: Large, retro-peritoneal hematoma (orange arrow); B: Rupture in the upper pole of the transplanted kidney (orange arrow); C: Area of parenchymal hypoperfusion just below the fracture (orange arrow).

Figure 2  Intra-operative photograph showing the kidney graft covered by a fibrin sealant and wrapped with a tailored polyglactin 910 knitted mesh.

Figure 3 Intra-operative photographs. A: Tailored polyglactin 910 knitted mesh cut in the center and trimmed to let the renal graft vessels to perfectly fit in the gap; B: Extremities of the mesh tightened and tied together with absorbable polydioxanone sutures.

Figure 4 Serial post-operative ultrasound scans of the kidney graft showing progressive resorption of the polyglactin 910 knitted mesh. A: After seven days (white arrow); B: After three months (white arrow); C: After six months.

Figure 5  Flow diagrams summarizing and comparing the main outcomes of the episodes of spontaneous kidney graft rupture reported in the literature and sorted in different publication eras: 1973-1990, 1991-2010, and 2011-2024.