Document Detail


A study of the effect of sartorius transposition on lymph flow after ilioinguinal node dissection.
MedLine Citation:
PMID:  18724134     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ilioinguinal dissection is associated with a high rate of lymphatic complications. Prolonged lymph flow causes greatest concern and preventive strategies are needed. A retrospective study of 28 consecutive patients undergoing groin dissection for melanoma metastases was performed to evaluate the influence of sartorius muscle transposition on lymph flow. Modification of the surgical technique with transposition of the sartorius muscle was not associated with reduced drainage time (P = 0.66). A 2-staged approach, with initial sentinel lymph node resection and lymph node dissection in a second operation, however, lead to shortened duration of the lymph flow (P = 0.01). Prolonged lymphorrhea was more frequent in older (P = 0.03), obese (P = 0.02) patients affected by diabetes mellitus (P = 0.03) and hypertension (P = 0.04).
Authors:
Paolo Erba; Reto Wettstein; Ulrich M Rieger; Martin Haug; Gerhard Pierer; Daniel F Kalbermatten
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  61     ISSN:  1536-3708     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-25     Completed Date:  2008-10-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  310-3     Citation Subset:  IM    
Affiliation:
Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital of Basel, CH-4031 Basel, Switzerland. perba@uhbs.ch
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MeSH Terms
Descriptor/Qualifier:
Drainage / methods
Female
Groin / surgery
Humans
Lymph
Lymph Node Excision / methods*
Lymph Nodes / physiopathology*
Lymphatic Metastasis
Lymphatic Vessels / physiopathology*
Male
Melanoma / secondary*,  surgery*
Middle Aged
Skin Neoplasms / surgery
Surgical Flaps*

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


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