A study of the effect of sartorius transposition on lymph flow after ilioinguinal node dissection.


Autoria(s): Erba P.; Wettstein R.; Rieger U.M.; Haug M.; Pierer G.; Kalbermatten D.F.
Data(s)

2008

Resumo

Ilioinguinal dissection is associated with a high rate of lymphatic complications. Prolonged lymph flow causes greatest concern and preventive strategies are needed. A retrospective study of 28 consecutive patients undergoing groin dissection for melanoma metastases was performed to evaluate the influence of sartorius muscle transposition on lymph flow. Modification of the surgical technique with transposition of the sartorius muscle was not associated with reduced drainage time (P = 0.66). A 2-staged approach, with initial sentinel lymph node resection and lymph node dissection in a second operation, however, lead to shortened duration of the lymph flow (P = 0.01). Prolonged lymphorrhea was more frequent in older (P = 0.03), obese (P = 0.02) patients affected by diabetes mellitus (P = 0.03) and hypertension (P = 0.04).

Identificador

http://serval.unil.ch/?id=serval:BIB_EB404857A449

isbn:1536-3708

pmid:18724134

doi:10.1097/SAP.0b013e31815888df

isiid:000258679100018

Idioma(s)

en

Fonte

Annals of Plastic Surgery, vol. 61, no. 3, pp. 310-313

Palavras-Chave #Drainage; Female; Groin; Humans; Lymph; Lymph Node Excision; Lymph Nodes; Lymphatic Metastasis; Lymphatic Vessels; Male; Melanoma; Middle Aged; Skin Neoplasms; Surgical Flaps
Tipo

info:eu-repo/semantics/article

article