Document Detail


Groin lymphorrhea postoperative nuisance.
MedLine Citation:
PMID:  9189805     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Lymphorrhea is defined as the flow of lymph from disrupted lymphatic channels that drains externally or is contained within a wound. It complicates approximately 2% of vascular incisions in the groin. Of 116 patients who underwent different arterial reconstructions involving 186 groin wounds, lymphorrhea developed in 4 patients (3.4%) including 4 groins (2.1%). They have been managed in the Division of Vascular Surgery at King Khalid University Hospital (KKUH) in Riyadh, during a 3-year period ending in February 1996. There were 105 (90.5%) males and 11 (9.5%) females. The ages ranged from 32 to 96 years with a mean age of 63 years. All the 4 cases complicated with lymphorrhea were managed conservatively for a period of three to five weeks. In 2 cases, the lymphatic leak stopped and the patients discharged without other local complications. In the other 2 cases, lymphatic leakage stopped immediately and permanently following direct surgical ligation. The use of isosulphane blue for localization of the site of the lymphatic leak was a simple, reliable and accurate method during wound exploration. Follow-up of all cases for 6 months showed no recurrence, no sepsis and patent vascular graft.
Authors:
M M al-Salman; H Rabee; S Shibli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  82     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    1997 Jan-Mar
Date Detail:
Created Date:  1997-07-17     Completed Date:  1997-07-17     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  60-2     Citation Subset:  IM    
Affiliation:
Vascular Surgery Division College of Medicine, King Saud University, Riyadh, Saudi Arabia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Coloring Agents / diagnostic use
Combined Modality Therapy
Female
Follow-Up Studies
Groin / blood supply,  surgery*
Humans
Lymphatic Diseases / diagnosis,  etiology*,  therapy
Male
Middle Aged
Vascular Surgical Procedures / adverse effects*
Chemical
Reg. No./Substance:
0/Coloring Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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