Postoperative Pelvic Lymphocele: Treatment with Simple Percutaneous Catheter Drainage

Abstract

Percutaneous catheter drainage is safe and effective for treatment of symptomatic postoperative lymphoceles.

Laparoscopic treatment of lymphoceles after renal transplantation

“…They introduce the possibility of infection and they can keep open lymphatic vessels due to continuous aspiration (16).…”

“…Injury of the urinary tract, particularly of the transplanted ureter, has been described as a major drawback of laparoscopic lymphocele drainage (4), and an incidence rate as high as 20% has been reported (16). Laparoscopic drainage of small lymphoceles in close proximity to the renal hylum bears an increased risk of iatrogenic ureter or vessel injury.…”

Management of Lymphocele Formation Following Kidney Transplantation: A Single Centre Experience

“…The recommended surgical intervention for lymphoceles is laparoscopic marsupialisation, as it is less invasive, and has shorter operative time and hospital stay, as well as better cosmesis. The recurrence rates following it (range 6%-12%) 2,7 and open drainage (range 6.7%-13%) 3,7 are comparable. In our study, conservative and less invasive treatment, such as percutaneous drainage, was successful in 53.84% of patients.…”

“…2 Laparoscopic marsupialisation is considered by some surgeons as the first line treatment of lymphoceles, 2,3 while others have suggested initial percutaneous aspiration under ultrasonographic guidance, followed by sclerotherapy to prevent reaccumulation of fluid. [4][5][6] Recurrence risk of lymphocele has been shown to reduce (range 13%-33%) [7][8][9] with percutaneous aspiration as has additional sclerotherapy (range 6%-25%). 2,4,7 Doxycycline and ethanol are common sclerosing agents used in sclerotherapy.…”

“…[4][5][6] Recurrence risk of lymphocele has been shown to reduce (range 13%-33%) [7][8][9] with percutaneous aspiration as has additional sclerotherapy (range 6%-25%). 2,4,7 Doxycycline and ethanol are common sclerosing agents used in sclerotherapy. 5 Other sclerosing agents which can be used are povidone-iodine, talc and bleomycin.…”