The Use of Negative Pressure Wound Therapy to Treat Wound Necrosis and Groin Lymphorrhea After Inguinal Lymph Nodes Dissection: A Case Report

Ito, Hiroki; Arao, Masayuki; Ishigaki, Hanako; Shirai, Akira; Yamasaka, Tomomi; Hirai, Kotaro

doi:10.5980/jpnjurol.103.22

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…NPWT is supposed to promote wound healing by increasing blood flow, removing the wound inhibiting factors and decreasing the bacterial count [ 35 ]. Many authors describe the successful use of NPWT for 11 to 19 days after the femoral arteriotomy and inguinal lymph nodes dissection [ 105 , 106 ]. On the contrary, some authors declare that it is unnecessary for the routine use of vacuum drainage in groin wounds [ 54 ].…”

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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“…NPWT is believed to promote wound healing by increasing blood flow, removing wound fluid, and reducing the number of bacteria [22]. Authors describe the successful use of NPWT 11 to 19 days after femorotomy and inguinal lymphadenectomy [23,24]. Conversely, some authors believe that the routine use of negative pressure drainage in groin wounds is unnecessary [25], and may even cause lymphatic aggravation.…”

Section: Negative Pressure Wound Therapy (Npwt) and Sclerosing Agentsmentioning

confidence: 99%

Causes and Treatment of Inguinal Lymphadenopathy: Literature Review

Xiong¹,

Zhuang²,

Fu³

2020

IJCEMR

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Objective. To summarize the causes and treatment of inguinal lymphatic leakage, and to provide references for clinical treatment of inguinal lymphatic leakage. Methods. The literatures on the inguinal lymphatic leakage in recent years were reviewed. The main research contents and results of each literature were summarized, and the causes and treatment progress were summarized. Results. There is no uniform standard for the diagnosis of inguinal lymphadenopathy and there are no standardized guidelines for treatment, but there are many reported treatments. Conclusion. The occurrence of lymph leak in the groin area is inevitable, and attention must be paid to prevention. The treatment is difficult, and both the doctor and the patient must be fully prepared before surgery. Treatment should be proactive, flexible selection according to the situation, and a combination of multiple treatment methods can achieve better treatment results.

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A Case of Traumatic Intractable Leg Ulcer with Lymphorrhea Diagnosed Using ICG Lymphography

Osada

Yamaki

Kamei

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Summary: We report a case of traumatic lower extremity ulcers with lymphorrhea in a 37-year-old woman. She presented intractable ulcers without lymphedema for nearly 6 months after a traumatic injury. She was treated conservatively for 6 months at a referral hospital. Unfortunately, during conservative treatment, cellulitis was developed. Even though the inflammation resolved, the ulcer did not heal. We suspected persistent lymphorrhea as the cause of refractory ulcer, and for that reason, we performed indocyanine green lymphography. The lymphatic vessel damage site was identified; also, a collateral lymphatic vessel connected toward the central side was recognized. The lymph fluid drainage site was selectively ligated. The lymphorrhea and ulcers healed 1 month after ligation. Ulcers with lymphorrhea can be persistent and refractory to treatment. Indocyanine green lymphography can be a feasible diagnostic technique. It can identify the site of leakage and is thus useful for treatment. There are fewer reports on the evaluation of lymphorrhea with video presentation. Here, we report a case with video presentation.

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The Use of Negative Pressure Wound Therapy to Treat Wound Necrosis and Groin Lymphorrhea After Inguinal Lymph Nodes Dissection: A Case Report

Cited by 5 publications

References 7 publications

A review of the postoperative lymphatic leakage

A review of the postoperative lymphatic leakage

Causes and Treatment of Inguinal Lymphadenopathy: Literature Review

A Case of Traumatic Intractable Leg Ulcer with Lymphorrhea Diagnosed Using ICG Lymphography

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