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Titolo:
Predictors of complications after inguinal lymphadenectomy
Autore:
Gould, N; Kamelle, S; Tillmanns, T; Scribner, D; Gold, M; Walker, J; Mannel, R;
Indirizzi:
Univ Oklahoma, Hlth Sci Ctr, Dept Obstet & Gynecol, Gynecol Oncol Sect, Oklahoma City, OK 73190 USA Univ Oklahoma Oklahoma City OK USA 73190 ect, Oklahoma City, OK 73190 USA
Titolo Testata:
GYNECOLOGIC ONCOLOGY
fascicolo: 2, volume: 82, anno: 2001,
pagine: 329 - 332
SICI:
0090-8258(200108)82:2<329:POCAIL>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
SQUAMOUS-CELL CARCINOMA; GYNECOLOGIC-ONCOLOGY-GROUP; SURGICAL-MANAGEMENT; RADICAL VULVECTOMY; VULVA; CANCER; DISSECTION;
Keywords:
vulvar cancer; lymphadenectomy; complications; lymphedema;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Gould, N Univ Oklahoma, Hlth Sci Ctr, Dept Obstet & Gynecol, Gynecol OncolSect, Oklahoma City, OK 73190 USA Univ Oklahoma Oklahoma City OK USA 73190 homa City, OK 73190 USA
Citazione:
N. Gould et al., "Predictors of complications after inguinal lymphadenectomy", GYNECOL ONC, 82(2), 2001, pp. 329-332

Abstract

Objective. The aim of this study was to identify predictors of complications in patients undergoing inguinal lymphadenectomy (LND) in the treatment of vulvar carcinoma. Methods. Clinical information was abstracted from records of patients withinvasive vulvar cancer. All patients underwent LND. Closed suction drains were placed in groin incisions and removed when output was less than 30 ml/24 h. Associations between variables were studied by chi (2) and t tests. Results. Sixty-seven patients undergoing 112 LND were evaluated. Eighty-eight percent of patients underwent radical vulvar surgery and LND while 12% underwent LND alone. Patients were treated with either unilateral (22) or bilateral (45) LND. Seventy-three percent received extended postoperative prophylactic antibiotics. The median duration of suction drainage was 15 daysfor one drain and 14 days for two drains. Early postoperative cellulitis (< 30 days after surgery) developed in 35.4%, early wound breakdown in 19.4%, early lymphedema in 4.8%, and early lymphocyst formation in 13.1%. Late cellulitis (> 30 days after surgery) developed in 22.2%, late wound breakdown in 3.2%, late lymphedema in 29.5%, and late lymphocysts in 5%. Patients developing early cellulitis were more likely to have early wound breakdown (P = < 0.001, RR 14.2) or early lymphocyst formation (P = 0.016, RR 7.6). Type of procedure, antibiotic use, need for adjuvant therapy, and duration ofsuction drainage did not influence early complications. Early complications and management strategies did not predict late complications. Conclusions. Chronic lymphedema occurs in nearly 30% of patients after LND. Late complications after LND were not predicted by early complications. New strategies for prevention of chronic lymphedema. are needed. (C) 2001 Academic Press.

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Documento generato il 04/04/20 alle ore 13:12:26