A Management Scheme for Postoperative Groin Lymphocysts

Hoffman, Mitchel S.; Mark, James E.; Cavanagh, Denis

doi:10.1006/gyno.1995.1043

Cited by 11 publications

(4 citation statements)

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“…Lymphocele formation after surgery is relatively common but infrequently requires surgical intervention. Symptomatic lymphoceles may be drained or sclerosed if chronic [52].…”

Section: Follow-upmentioning

confidence: 99%

Vulvar carcinoma

Coleman

Santoso

2000

Curr. Treat. Options in Oncol.

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Carcinoma of the vulva is an uncommon gynecologic malignancy primarily affecting postmenopausal women. The lesion is most commonly associated with HPV DNA, although, for many, a defined preinvasive to invasive connection is not readily apparent. Most patients experience symptoms of pruritus, irritation, and even pain for weeks or months before the diagnostic biopsy is performed. Patient embarrassment and unfamiliarity and reluctance on the part of the physician to fully evaluate these symptoms add to the delay. Vulvar carcinoma is staged surgically following resection. A concerted effort to conserve as much normal tissue as possible has been the focus of recent investigation. Separate incision resection of the vulvar mass and groin has improved wound healing and quality of life for many patients. The effect these conservative procedures have on long-term survival is currently being evaluated. Increased use of radiation therapy or chemoradiation has allowed organ preservation in many otherwise exenterative cases. In some instances, this neoadjuvant therapy has provided an opportunity to surgically clear otherwise unresectable lesions. Current radiotherapy techniques might also be as effective as groin dissection in certain low-risk patients. Adjuvant radiation and chemoradiation improve local control and reduce groin recurrence risk. In addition, patients with histologically positive groins enjoy longer survival when the pelvis is also treated. Selected use of multimodality therapy will likely extend the lives of women with vulvar cancer.

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“…Lymphocele formation after surgery is relatively common but infrequently requires surgical intervention. Symptomatic lymphoceles may be drained or sclerosed if chronic [52].…”

Section: Follow-upmentioning

confidence: 99%

Vulvar carcinoma

Coleman

Santoso

2000

Curr. Treat. Options in Oncol.

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“…Although the long-term continuance of wound drainage may serve to prevent this problem, the long-term existence of drain material may lead to infection and the development of wounds. The recommended treatment of lymphocyst formation includes drainage, pressure dressings and antibiotic cover ( Hoffman et al, 1995 ).…”

Section: Pre-treatment Evaluationmentioning

confidence: 99%

“…While different figures have been reported, the prevalence rate for the onset of lymphedema has been shown to reach 30% in some cases ( Abu-Rustum et al, 2006 , Ryan et al, 2003 ). Although a complete treatment program is still unavailable, specific exercises, massages, skin care and tight socks may serve to prevent the patient from worsening ( Hoffman et al, 1995 ). Potential problems that patients may encounter include micturition and coital difficulties, vulvar asymmetry and psychosexual issues.…”

Section: Pre-treatment Evaluationmentioning

confidence: 99%

Surgical management of squamous cell vulvar cancer without clitoris, urethra or anus involvement

Kaban

Kaban²,

Afşar

2017

Gynecologic Oncology Reports

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Vulvar cancers, which constitute 5% of all gynecologic cancers, are the fourth most common female genital cancers, preceded by uterine, ovarian and cervical cancers. The treatment methods employed for vulvar cancers have changed over the years, with previously applied radical surgical approaches, such as en bloc resection, being gradually suspended in favor of treatment approaches that require dissection of less tissue. While the removal of less tissue, which today's approaches have focused on, prevents morbidity, this method seems to result in higher risks of recurrence. It is therefore important that the balance between preventing the recurrence of the disease and forefending against postoperative complications and vulvar deformity be properly understood. As a working assumption, if patients with vulvar cancer are diagnosed at an early stage, properly evaluated and administered appropriate treatment, the most positive results can be obtained. This paper aims to highlight this assumption and demonstrate, through the provision of actual data, how to plan the treatment approach for patients who are diagnosed early. Statements extracted from the National Comprehensive Cancer Network (NCCN) Guidelines Version 1.2016 Sub-Committees on vulvar squamous cell carcinoma and articles by the European Society of Gynaecological Oncology (ESGO) regarding Vulvar Cancer Recommendations were used to obtain updated information.

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“…Depending on site and size, lymphoceles may be asymptomatic but can lead to complications such as leg edema, deep venous thrombosis and severe pain. Generally, symptomatic lymphoceles are initially treated by drainage, 4 sclerotherapy 5 and in case of recurrence by either surgical intervention 6 or low dose irradiation 7 . However, the outcome of these methods is often frustrating.…”

Section: Introductionmentioning

confidence: 99%

Treatment of a recurrent inguinal lymphocele in a penis cancer patient by lymphography and selective ligation of lymphatic vessels

et al. 2007

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Abstract:We report a case of recurrent inguinal lymphocele formation after inguinal lymphadenectomy treated by lymphographic mapping and selective ligation of the lymphatic vessels. Lymphographic mapping was performed by puncturing a lymphatic vessel at the dorsum of the foot. After isolating the vessels that drained into the lymphocele, they were clipped and divided through a small skin incision. The described technique showed an instant and complete suspension of the lymph secretion with subsequent complete healing. Lymphatic mapping and selective ligation of afferent lymphatic vessels proved to be an effective treatment of a recurrent inguinal lymphocele.

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A Management Scheme for Postoperative Groin Lymphocysts

Cited by 11 publications

References 0 publications

Vulvar carcinoma

Vulvar carcinoma

Surgical management of squamous cell vulvar cancer without clitoris, urethra or anus involvement

Treatment of a recurrent inguinal lymphocele in a penis cancer patient by lymphography and selective ligation of lymphatic vessels

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