Intraperitoneal catheter drainage of lymphocele: an outpatient procedure

Nghiem, Dai D.; Beckman, Irwin

doi:10.1111/j.1432-2277.2005.00137.x

Cited by 22 publications

(9 citation statements)

References 2 publications

(1 reference statement)

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“…Lymphocele often occurs within 3 ∼ 8 weeks or 1 year occasionally after surgeries [ 38 ]. Because of self-limiting, most of postoperative lymphocele is usually asymptomatic, undiagnosed and self-healing without any treatments [ 38 , 39 ]. Only 4% – 7% of postoperative lymphocele is symptomatic [ 16 ] due to self-absorption disorder.…”

Section: Resultsmentioning

confidence: 99%

A review of the postoperative lymphatic leakage

et al. 2017

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Lymphatic complications are rare, but well-known phenomena, and have been described by many researchers. However, many diagnoses of lymphatic complications are found confusing due to different definition. A literature search in Pubmed was performed for studies postoperative lympatic complications. These complications divided into two parts: lymphatic leakage and lymphatic stasis. This review is about lymphatic leakage, especially, postoperative lymphatic leakage due to the injury of lymphatic channels in surgical procedures. According to polytrophic consequences, many types of postoperative lymphatic leakage have been presented, including lymph ascites, lymphocele, lymphorrhea, lymphatic fistula, chylous ascites, chylothorax, chyloretroperitoneum and chylorrhea. In this review, we focus on the definition, incidence and treatment about most of these forms of lymphatic complications to depict a comprehensive view of postoperative lymphatic leakage. We hold the idea that the method of treatment should be individual and personal according to manifestation and tolerance of patient. Meanwhile, conservative treatment is suitable and should be considered first.

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Section: Resultsmentioning

confidence: 99%

A review of the postoperative lymphatic leakage

et al. 2017

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“…Laparoscopic lymphocele fenestration has yielded very promising results. In a study, with this method, under local anesthesia and guided by ultrasonography, intraperitoneal catheter drainage was performed with a 92.8% success rate (19).…”

Section: Management Of Post‐transplant Wound Complicationsmentioning

confidence: 99%

“…It should be noted, however, that in the case of inferolateral or posterolateral lymphoceles, laparoscopy is hazardous because of a risk of vascular damage by trochar (16). Furthermore, one study stated that peritoneal marsupialization of a deep lymphocele in an obese patient led to a higher recurrence rate because of the difficulty in suturing the peritoneum to the lymphocele wall and draining the lymphocele completely (19). For the prevention of lymphocele, we suggest a careful ligation of the lymph ducts in the donor's kidney.…”

Section: Surgical Factors and Wound Infectionmentioning

confidence: 99%

“…The predisposing factors include retransplantation, site of anastomosis (common iliac vs. external), transplant biopsy, acute rejection episodes, acute tubular necrosis, deceased donors, high corticosteroid (ST) doses, IS agents such as sirolimus (SRL), and adult polycystic kidney disease (13, 16–18). Large accumulations of lymph may lead to protein loss, graft displacement, compression of the ureter or the bladder, deep venous thrombosis, and transplant malfunction (13, 19). The compressive symptoms show themselves as increased creatinine level and decrease in urinary output because of kidney or ureter obstruction.…”

Section: Classification Of Wound Complicationsmentioning

confidence: 99%

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Wound complications following kidney and liver transplantation

Mehrabi¹,

Fonouni²,

Wente³

et al. 2006

Clinical Transplantation

151

126

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Advances in surgical techniques and immunosuppression (IS) have led to an appreciable reduction in postoperative complications following transplantation. However, wound complications as probably the most common type of post-transplantation surgical complication can still limit these improved outcomes and result in prolonged hospitalization, hospital readmission, and reoperation, consequently increasing overall transplant cost. Our aim was to review the literature to delineate the evidence-based risk factors for wound complications following kidney and liver transplantation (KTx, LTx), and to present the preventive and therapeutic modalities for this bothersome morbidity. Generally, wound complications are categorized as superficial and deep wound dehiscences, perigraft fluid collections and seroma, superficial and deep wound infections, cellulitis, lymphocele and wound drainage. The results of several studies showed that the most important risk factors for wound complications are IS and obesity. Additionally, there are surgical and/or technical factors, including type of incision, reoperation, and surgeon's expertise, as well as comorbidities such as advanced age, diabetes mellitus, malnutrition, and uremia. Preventive management of wound complications necessitates defining their etiological factors so that their detrimental effects on healing processes can be addressed and reduced. IS modalities and agents, especially sirolimus (SRL), and steroids (ST) should be adjusted according to the patient's co-existing risk factors. SRL should be administered three months after transplantation and ST should be tapered as soon as possible. A body mass index (BMI) lower than 30 kg/m2 is advisable for inclusion in a transplantation program, but higher BMIs do not exclude recipients. Surgical risk factors can be prevented by applying precise surgical techniques. Therapeutic modalities must focus on the most efficient and cost-effective medications and/or interventions to facilitate and improve wound healing.

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“…Die Inzidenz wird in der Literatur sehr unterschiedlich zwischen 0,6 und 26,0% angegeben [2,3,4]. Häufig sind Lymphozelen klein und asymptomatisch und bedürfen keiner chirurgischen Intervention [5]. Ursachen für die Entstehung von Lymphozelen sind u. a. die Sekretion aus Lymphgefäßen des Transplantathilus sowie aus den begleitenden Lymphbahnen der Empfängergefäße [6].…”

Section: Diskussionunclassified

Inkarzerierte Hernie nach laparoskopischer Lymphozelenfensterung

Friedersdorff

Roller

Baumunk

et al. 2010

Urologe

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Laparoscopic lymphocele drainage is considered the gold standard for the treatment of lymphoceles after kidney transplantation. We report on a female patient who developed a symptomatic posttransplant lymphocele. After laparoscopic lymphocele drainage the patient presented with acute pain in the left lower abdomen. A CT scan showed a hernia into the peritoneal window. This is a rare but potentially severe complication after intraperitoneal lymphocele drainage. CT imaging and swift reoperation with enlargement of the peritoneal window are critical to avoid serious complications. To avoid bowel incarceration, the peritoneal window should be as large as possible.

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Intraperitoneal catheter drainage of lymphocele: an outpatient procedure

Cited by 22 publications

References 2 publications

A review of the postoperative lymphatic leakage

A review of the postoperative lymphatic leakage

Wound complications following kidney and liver transplantation

Inkarzerierte Hernie nach laparoskopischer Lymphozelenfensterung

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