The Impact of Saphenous Vein Sparing During Inguinal Lymphadenectomy on Postoperative Morbidity in Women With Vulval Cancer

Tranoulis, Anastasios; Laios, Alexandros; Theophilou, George; Bramis, Konstantinos; Kehoe, Sean

doi:10.1097/igc.0000000000001283

Cited by 8 publications

(2 citation statements)

References 21 publications

(22 reference statements)

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“…73,92e94 The preservation of the saphenous vein seems to reduce the rate of lymphedema, cellulitis, and dehiscence. 95 Multiple retrospective studies have investigated time-based or volumebased IFLN drainage to guide drain removal, with no definitive conclusions. Overall, short duration of use (<3 days) was associated with higher rates of wound breakdown, whereas longer duration of use (>7 days) was associated with higher rates of lymphedema.…”

Section: Postoperative Drains and Adjuvant Therapiesmentioning

confidence: 99%

Guidelines for vulvar and vaginal surgery: Enhanced Recovery After Surgery Society recommendations

Altman

Robert

Armbrust

et al. 2020

American Journal of Obstetrics and Gynecology

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This is the first collaborative Enhanced Recovery After Surgery Society guideline for optimal perioperative care for vulvar and vaginal surgeries. An Embase and PubMed database search of publications was performed. Studies on each topic within the Enhanced Recovery After Surgery vulvar and vaginal outline were selected, with emphasis on meta-analyses, randomized controlled trials, and prospective cohort studies. All studies were reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation system. All recommendations on the Enhanced Recovery After Surgery topics are based on the best available evidence. The level of evidence for each item is presented.

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Section: Postoperative Drains and Adjuvant Therapiesmentioning

confidence: 99%

Guidelines for vulvar and vaginal surgery: Enhanced Recovery After Surgery Society recommendations

Altman

Robert

Armbrust

et al. 2020

American Journal of Obstetrics and Gynecology

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“…As previously mentioned, the several surgical amendments that have been developed since the initial description of the surgery contributed to reduce postoperative morbidity in patients undergoing full lymphadenectomy (111). For example, Saphenous vein sparing improves postoperative outcomes in patients following inguino femoral lymphadenectomy (119). While progressive implementation of SLN in vulvar cancer decreased the risk of lower limb lymphedema by 10 fold, factors associated with secondary morbidity are less described (120).…”

Section: Topographic Distribution Of Slns For Patients With Vulvar Camentioning

confidence: 99%

Anatomical basis of lymph node detection in gynecologic cancers: a review from a surgical perspective

Dabi¹,

Bendifallah²,

Kolańska³

et al. 2021

Chin Clin Oncol

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Pelvic and para-aortic lymphadenectomy are associated with increased risk of complications and are responsible for a significant proportion of morbidity and impaired quality of life following surgical management of pelvic malignancies. Sentinel lymph node (SLN) was developed as a trade-off between systematic and no lymphadenectomy to limit morbidity while conserving good oncological staging and outcomes. In this comprehensive review, we aimed to synthetize the anatomical basis of the SLN procedure in patients with pelvic malignancies from a surgical perspective. The reliability of the SLN procedure is based on the knowledge of the dissemination pathways for each type of tumors. The most recent understanding of the uterine lymphatic anatomy defined three consistent channels: an upper paracervical pathway (UPP) with draining medial external and/or obturator lymph nodes; a lower paracervical pathway (LPP) with draining internal iliac and/or presacral lymph nodes and the infundibulo-pelvic pathway (IPP) with a course along the fallopian tube and upper broad ligament via the infundibulo-pelvic ligament to its origin. In patients with endometrial cancer, most SLNs are located on the UPP pathway: obturator and external iliac whereas 80% of the SLNs in patients with cervical cancer are located in the external iliac, interiliac and obturator area. Surgical training is a key step toward improving detection rates and exhaustiveness of SLN research while reducing overall morbidity. This is all the more important that the indications for performing complete lymphadenectomy are becoming increasingly rare.

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Outcomes of Femoral Endarterectomy with Superficial Tributary Vein Patch Angioplasty

Yamamoto

Uchiyama²,

Oonuki³

2023

Annals of Vascular Surgery

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The Impact of Saphenous Vein Sparing During Inguinal Lymphadenectomy on Postoperative Morbidity in Women With Vulval Cancer

Cited by 8 publications

References 21 publications

Guidelines for vulvar and vaginal surgery: Enhanced Recovery After Surgery Society recommendations

Guidelines for vulvar and vaginal surgery: Enhanced Recovery After Surgery Society recommendations

Anatomical basis of lymph node detection in gynecologic cancers: a review from a surgical perspective

Outcomes of Femoral Endarterectomy with Superficial Tributary Vein Patch Angioplasty

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