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[Value of non-reperitonization for preventing lymphocele after extended lymphadeno-colpo-hysterectomy. Our experience in a comparative retrospective series of 124 cases].
- Source :
-
Annales de chirurgie [Ann Chir] 1989; Vol. 43 (7), pp. 525-9. - Publication Year :
- 1989
-
Abstract
- Pelvic lymphadenectomy for genital cancer can lead to numerous complications, particularly lymphoceles. Two types of drainage were compared in a series of 124 patients treated by extended lymphadeno-colpo-hysterectomy. In the first group (n = 83), hermetic peritonization with aspiration drainage was performed, and in the second group (n = 41), non-peritonization combined with omentoplasty was performed. Lymphoceles developed in 20% of patients in the first group (17 cases), requiring 7% of repeat operations (5 cases). Lymphoceles occurred in only one patient in the second group. The combined use of the reabsorption qualities of peritoneum and omentum avoids lymphoceles complications, particularly in patients previously treated by external radiotherapy.
- Subjects :
- Female
Humans
Middle Aged
Retrospective Studies
Suction
Uterine Cervical Neoplasms pathology
Uterine Neoplasms pathology
Hysterectomy adverse effects
Lymph Node Excision adverse effects
Lymphatic Diseases prevention & control
Lymphocele prevention & control
Uterine Cervical Neoplasms surgery
Uterine Neoplasms surgery
Subjects
Details
- Language :
- French
- ISSN :
- 0003-3944
- Volume :
- 43
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Annales de chirurgie
- Publication Type :
- Academic Journal
- Accession number :
- 2694906