A prospective randomized study comparing retroperitoneal drainage with no drainage and no peritonization following radical hysterectomy and pelvic lymphadenectomy for invasive cervical cancer

Srisomboon, Jatupol; Phongnarisorn, Chailert; Suprasert, Prapaporn; Cheewakriangkrai, Chalong; Siriaree, Sitthicha; Charoenkwan, Kittipat

doi:10.1046/j.1341-8076.2002.00027.x

Cited by 25 publications

(14 citation statements)

References 18 publications

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“…Previous studies reported that drain following retroperitoneal lymphadenectomy could not reduced postoperative lymphocysts and morbidities. 17,18 The insertion and management of drain after retroperitoneal lymphadenectomy need further study. After excluding urinary injury and other causes authors planed to treat the patient as in chylous ascites.…”

Section: Discussionmentioning

confidence: 99%

A case of massive serous ascites following radical hysterectomy with bilateral pelvic lymphadenectomy for cervical adenocarcinoma stage IB2

Hong

Kim

Lee

et al. 2008

Korean J Gynecol Oncol

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Ascites following radical hysterectomy with retroperitoneal lymphadenectomy for invasive cervical cancer has been reported previously. Most of these reports described chylous ascites. The chylous ascitic fluid is milky; further, chylous ascites leads to nutritional problems. Authors present the case of a patient who developed serous ascites following radical hysterectomy with bilateral pelvic lymphadenectomy. The amount of ascites was approximately 18,000 ml over 52 days. The patient had no nutritional problems or complications. Although the etiology could not be determined, Authors surmise that the ascites may have been due to massive drainage from injured lymphatic channels below the cisterna chyli. Authors could not found any literatures which described massive serous ascites following surgery in gynecologic malignancy and reports this case with review of literatures.

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Section: Discussionmentioning

confidence: 99%

A case of massive serous ascites following radical hysterectomy with bilateral pelvic lymphadenectomy for cervical adenocarcinoma stage IB2

Hong

Kim

Lee

et al. 2008

Korean J Gynecol Oncol

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“…Une mé ta-analyse ré cente de la Cochrane Database [44], comprenant quatre é tudes randomisé es et 571 patientes, a montré que l'utilisation de drains pelviens en cas de CP ne pré venait pas la survenue de lymphocè le voire augmentait le risque [11,12,30,45]. Le pé ritoine é tait laissé ouvert dans trois é tudes [11,30,45].…”

Section: Drainagesunclassified

“…Le pé ritoine é tait laissé ouvert dans trois é tudes [11,30,45]. Dans l'é tude de Srisomboon, le pé ritoine é tait fermé dans le groupe avec drainage [12]. Le taux de lymphocè le postopé ratoire é tait comparable avec ou sans drainage quatre semaines aprè s la chirurgie.…”

Section: Drainagesunclassified

“…Les lymphocè les repré sentent les complications les plus fré quentes de cette chirurgie. Leur incidence varie selon les é tudes entre 0 % et plus de 50 % des lymphadé nectomies [8][9][10][11][12][13][14]. Aprè s dissection chirurgicale et section non hermé tique des diffé rents canaux lymphatiques au cours des CP et CLA, une lymphorrhé e, correspondant à la production de lymphe en dehors des canaux lymphatiques, peut survenir.…”

Section: Introductionunclassified

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Prévention des lymphocèles et cancers gynécologiques

Gauthier

Gouy

Uzan

et al. 2011

Gynécologie Obstétrique & Fertilité

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“…Pelvic suction drainage following lymph node dissection had formerly been used to prevent the occurrence of pelvic lymphocyst. However, it was found that the incidence of this complication was the same whether patients underwent retroperitoneal drainage or not [8][9][10][11] , and that it might occur even more frequently in patients who underwent this procedure [12] .…”

Section: Introductionmentioning

confidence: 97%

Management of Pelvic Lymphocysts by Ultrasound-Guided Aspiration and Minocycline Sclerotherapy

Liu

Hung

Hwang

et al. 2005

Gynecol Obstet Invest

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Objective: The purpose of this study was to describe our experience with ultrasound-guided aspiration of postoperative pelvic lymphocysts followed by intracavitary minocycline injection as sclerotherapy. Patients and Methods: From 1997 to 2003, patients who developed either symptomatic or persistent lymphocyst after pelvic lymphadenectomy for gynecological malignancy were recruited in this study. All of the lymphocysts were palpable and were further examined by ultrasonography. Percutaneous ultrasound-guided needle aspiration of the lymphocyst was performed and then immediately followed by a single-dose injection of minocycline into the collapsed cavity. Follow-up was conducted every 4 weeks with pelvic examination and ultrasonography. Results: Nineteen patients with a total of 21 pelvic lymphocysts underwent this procedure. The median size of the lymphocysts was 6 cm in diameter (range, 4–9 cm). Fifteen patients received 1 treatment, 3 received 2, and 1 patient with bilateral lymphocysts received 3 treatments. Complete resolution occurred in 14 patients (74%), and the other 5 patients (26%) had partial resolution with the volume of the lymphocyst decreasing at least 50%. For the 14 patients with complete resolution, the median time from treatment to disappearance of the lymphocyst was 3 months (range, 1–10 months), and none of them developed recurrence during the average follow-up period of 40 months (range, 2–62 months). No significant complication occurred with this procedure except for transient mild to moderate pelvic pain. Discussion: Minocycline sclerotherapy seems to be a simple and safe method with a satisfactory success rate in treating lymphocysts which develop after pelvic lymphadenectomy. It can be performed in an outpatient setting and can be repeated if necessary. This procedure may be considered as the initial treatment modality for patients suffering from symptomatic or persistent lymphocysts after radical gynecological surgery.

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A prospective randomized study comparing retroperitoneal drainage with no drainage and no peritonization following radical hysterectomy and pelvic lymphadenectomy for invasive cervical cancer

Abstract: Routine retroperitoneal drainage and peritonization after RHPL for invasive cervical cancer can be safely omitted.

Cited by 25 publications

References 18 publications

A case of massive serous ascites following radical hysterectomy with bilateral pelvic lymphadenectomy for cervical adenocarcinoma stage IB2

A case of massive serous ascites following radical hysterectomy with bilateral pelvic lymphadenectomy for cervical adenocarcinoma stage IB2

Prévention des lymphocèles et cancers gynécologiques

Management of Pelvic Lymphocysts by Ultrasound-Guided Aspiration and Minocycline Sclerotherapy

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