2019
DOI: 10.1002/micr.30435
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Lymphatic supermicrosurgery for the treatment of recurrent lymphocele and severe lymphorrhea

Abstract: Background Lymphocele and lymphorrhea are frequent complications after lymph node excision. Recurrent lymphoceles and intractable lymphorrhea are particularly difficult to treat conservatively. We describe the outcomes of four patients with recurrent lymphocele and nine patients with persistent lymphorrhea that were treated by supermicrosurgery. Methods Four patients with recurrent lymphoceles with a size between 7 and 21 cm and located in the groin (n = 1) or upper leg (n = 3), were referred for surgical trea… Show more

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Cited by 38 publications
(32 citation statements)
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“…Another correlated delicate issue is infections. In this case pain and tenderness of the involved area are typical signs, and staphylococcus is the most frequently cultured organism (Alago et al, 2013; Boccardo et al, 2014; Borud et al, 2008; Ferguson & Maclure, 1961; Giacalone et al, 2019; Karcaaltincaba & Akhan, 2005; Roberts et al, 1993; Van den Brande et al, 2012; Vilain & Dardour, 1986).…”
Section: Discussionmentioning
confidence: 95%
“…Another correlated delicate issue is infections. In this case pain and tenderness of the involved area are typical signs, and staphylococcus is the most frequently cultured organism (Alago et al, 2013; Boccardo et al, 2014; Borud et al, 2008; Ferguson & Maclure, 1961; Giacalone et al, 2019; Karcaaltincaba & Akhan, 2005; Roberts et al, 1993; Van den Brande et al, 2012; Vilain & Dardour, 1986).…”
Section: Discussionmentioning
confidence: 95%
“…The superficial planes of elevation may reduce the risk of lymphatic injuries and postoperative lymphoceles or lymphorrea. 25 In different series, this perforator is used and is preferably chosen by the authors. We have noticed that after penetrating the deep fascia, the medial perforator has a course within the deep-fat layer and generally provides some branches to the inguinal lymph nodes before penetrating the superficial fascia; afterward it travels through the superficial fat layer toward the anterior superior iliac spine.…”
Section: Discussionmentioning
confidence: 99%
“…It is assumed that direct lymphaticovenous anastomosis followed by a hysterectomy and lymphadenectomy is effective to prevent postoperative lymphedema. This approach would not only reduce the risk of lymphedema, but also reduce the risk of lymphocele [26, 27]. Potential problem we recognized at surgery, however, is that surgical results significantly depended on each surgeon using a microscope.…”
Section: Discussionmentioning
confidence: 99%