Please use this identifier to cite or link to this item: https://doi.org/10.11622/smedj.2020052
Title: Review of stentless, tubeless, apposed renal (STAR) transplant wound management programme
Authors: Tay, Hui Wen Melissa
Sim, Pei Yi
Teo, Yong Ai
Rahman, Lata
Tiong, Ho Yee 
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
complications
drain
renal transplantation
ureteric stent
wound closure
SIROLIMUS
DRAIN
Issue Date: 1-Oct-2021
Publisher: SINGAPORE MEDICAL ASSOC
Citation: Tay, Hui Wen Melissa, Sim, Pei Yi, Teo, Yong Ai, Rahman, Lata, Tiong, Ho Yee (2021-10-01). Review of stentless, tubeless, apposed renal (STAR) transplant wound management programme. SINGAPORE MEDICAL JOURNAL 62 (10) : 529-534. ScholarBank@NUS Repository. https://doi.org/10.11622/smedj.2020052
Abstract: INTRODUCTION We aimed to review the necessity of conventional interventions in renal transplant for preventing complications arising out of the use of wound drains, ureteral stents and stapled skin closures. METHODS We reviewed a series of 33 patients who received stentless, tubeless/drainless and suture-apposed living donor renal transplants (STAR group) and compared the results to a control non-STAR group of 36 patients in whom all three interventions of drains, stents and skin staples were used. RESULTS: No significant differences in demographics and clinical characteristics were observed between the two groups. With regard to the overall surgical complications, no significant differences in terms of wound infection, seroma, perinephric collections, urinoma, bacteriuria or vascular complications were observed between the groups. When analysed according to the interventions specific for preventing complications, although slightly more asymptomatic perinephric collections were observed and two lymphoceles required treatment in the STAR group, these differences were not statistically significant. Similarly, no significant differences in ureteric or skin-related complications were observed between the groups. Both groups had comparable good outcomes for renal function, graft survival and patient survival. CONCLUSION The routine use of ureteric stents, drains or skin staples may not be necessary for uncomplicated renal transplants. Potential complications associated with the placement of these interventions can be avoided without compromising on the safety of patients and/or the outcome of transplants.
Source Title: SINGAPORE MEDICAL JOURNAL
URI: https://scholarbank.nus.edu.sg/handle/10635/217014
ISSN: 0037-5675
2737-5935
DOI: 10.11622/smedj.2020052
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