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Objective: Mayo Adhesive Probability score (MAP score) is a nephrometry system to predict surgical difficulty using radiologic image-based measurements and interpretations. MAP score is based on two main factors: Perinephric fat thickness at the level of the renal vein and perinephric fat stranding, which was defined as a linear area of soft tissue attenuation in the perinephric space. This study evaluated the efficacy of the MAP score on intraoperative parameters of laparoscopic donor nefrectomy and bench surgery. Materials and Methods: Four hundred twenty-one laparoscopic live-donor nephrectomies (LDN) and subsequent bench surgeries carried out between 2016 and 2022 have been included in this study. Preoperative computerized tomography images of donors were blindly scored for determination of MAP scores. Sex, age, hypertension, cigarette smoking, dyslipidemia, and body mass index (BMI) were evaluated as risk factors for high MAPS. Results: In females and males, the percentage of donors in the high MAPS group was 11.79% and 25.32%, respectively, and the difference between the two groups is statistically significant. Similarly, the percentage of donors in the high MAPS group is higher in smokers (42.57%) compared to non-smokers (8.75%) (p<0.05). Conclusion: Although a high MAP score can lead to longer operative time both in LDN and bench surgery, complications in LDN and bench surgery do not seem to be affected by a high MAP score. [ABSTRACT FROM AUTHOR]

Chylous ascites is the accumulation of milky fat-rich chyle in the peritoneal cavity. It is a rare condition in children. Congenital malformations of the lymphatic vascular channel are the predominant cause in children. Diagnosis is often confirmed by paracentesis of the chylous ascitic fluid. Treatment is generally conservative except in rare refractory cases that surgery is required for closure of the leak site or excision of the lymphatic cyst. Here is a report on the management of chylous ascites in a 6-h-old girl presenting in acute respiratory distress with acute abdominal distention due rapid increase in chylous ascitic fluid volume that was managed with surgery and frusemide. [ABSTRACT FROM AUTHOR]

Congenital chylous ascites is a rare cause of ascites in newborn infants. Its aetiology varies from localised leaky lymphatic duct to genetic syndromes. Most of these cases have transient ascites resolving over time with conservative management but some may progress needing medical as well as surgical treatment. We describe a case of antenatally detected large fetal ascites necessitating abdominal paracentesis and amnioreduction. Marked respiratory distress at birth required urgent abdominal paracentesis to relieve symptoms. The infant initially showed a good response to medium chain triglyceride (MCT) based formula milk feeds. Feeds were discontinued for 3 weeks due to sepsis with ileus. On recovery, recommencement of feeds resulted in reaccumulation of ascites. As the response to MCT-based formula was inadequate, octreotide therapy was initiated. Ascites showed remarkable resolution over the next 2 weeks and was discharged home. Follow-up at 5 years of age revealed normal growth and neurodevelopment. [ABSTRACT FROM AUTHOR]