Feasibility of internal inguinoperitoneal drainage after inguinofemoral lymphadenectomy in vulvar cancer
Dall P, Hildebrandt T, Du Bois A, Boetel E, Ahlfaenger J, Beckmann M, Bommert M (2020)
Publication Type: Journal article
Publication year: 2020
Journal
DOI: 10.1007/s00404-020-05528-z
Abstract
Purpose: Despite the introduction of sentinel node biopsy in patients with vulvar cancer, still approximately 50% of all patients have to undergo an inguinofemoral lymphadenectomy. This is associated with a high incidence of postoperative complications, which may be influenced by inguinal drain management. The aim of this study was to investigate the feasibility of a new surgical technique regarding drain management with an inguinoperitoneal drainage. Methods: A retrospective analysis of 21 vulvar cancer patients with inguinofemoral lymphadenectomy was conducted. A silicone drain was circularly placed with the perforated end in the groin and the other end in the space of Douglas. The removal after 3 months was performed under local anesthesia. All patients were questioned during clinical follow-up regarding their personal experiences with the procedure, the occurrence of complications, and side effects using a clinical questionnaire. Results: In 100% of the patients, the procedure was feasible. Regarding the number of groin punctures due to lymphocyst formation, 15 (71.4%) patients did not need any intervention and 3 (14.3%) patients needed 1–3 punctures. The patient satisfaction with the internal drainage was ranked as good by 17 (81.0%) patients and as moderate by 1 (4.8%) patient. In 3 (14.3%) patients, information about the number of groin punctures and the patient satisfaction were missing. Conclusion: Inguinoperitoneal drainage after inguinofemoral lymphadenectomy in vulvar cancer patients is feasible and safe and a patient satisfaction of 81% is promising. For definitive conclusions regarding the efficacy of this technique, further investigations and prospective multicenter trials are needed.
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Germany (DE)How to cite
APA:
Dall, P., Hildebrandt, T., Du Bois, A., Boetel, E., Ahlfaenger, J., Beckmann, M., & Bommert, M. (2020). Feasibility of internal inguinoperitoneal drainage after inguinofemoral lymphadenectomy in vulvar cancer. Archives of Gynecology and Obstetrics. https://doi.org/10.1007/s00404-020-05528-z
MLA:
Dall, Peter, et al. "Feasibility of internal inguinoperitoneal drainage after inguinofemoral lymphadenectomy in vulvar cancer." Archives of Gynecology and Obstetrics (2020).
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