<strong>Introduction:</strong><span style="font-family:Verdana;"> The principal postoperative complication of mastectomies with</span><span style="font-family:Verdana;"&g...<strong>Introduction:</strong><span style="font-family:Verdana;"> The principal postoperative complication of mastectomies with</span><span style="font-family:Verdana;"> axillary dissection is the lymphocele that can last many months after surgery. The purpose of our study was to prevent its formation using the padding.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> Sixty-one patients have been included in our study. The follow-up was 6 months. The patients were divided in two groups through a random draw (simple drainage and drainage associated with padding). All patients had a mastectomy with axillary dissection following the Madden technique. All quantities of lymphoceles during postoperative hospitalization and ambulatory care have been noted.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Twenty-five patients had benefited f</span><span style="font-family:Verdana;">rom</span><span style="font-family:Verdana;"> the padding and 36 of a simple axillary drainage. Six months after the surgery, the patients benefitting from the padding had a quantity of lymphocele equal to half that of the control group (761.83 mL against 1373.60 mL;p = 0.01). During the postoperative hospitalization, the quantities were of 362.80 mL for the padding group versus 630.83 mL;p < 0.01. The hospitalization period was shorter for the padding patients (3.72 days vs 5.14 days;p = 0.01). However, pain was greater for the padding group upon 6 months (0.26 vs 0.10;p = 0.04). On another note, padding does not influence the duration of the surgery.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The production of postoperative lymphocele is heterogenous, varying from one patient to another. Nevertheless, the padding of the mastectomy compartment and of the axillary cavity allow</span><span style="font-family:Verdana;">s</span><span style="font-family:Verdana;"> a noticeable reduction of the produced quantity and of the hospitalization period at the expense of more pain.</span>展开更多
Over the past two years,6 patients had iliac vein stenosis caused by radiation and pelvic lymphocele secondary to gynecologic malignancy.Patients had symptomatic lymphoceles induced lower limb edema.Poor treatment of ...Over the past two years,6 patients had iliac vein stenosis caused by radiation and pelvic lymphocele secondary to gynecologic malignancy.Patients had symptomatic lymphoceles induced lower limb edema.Poor treatment of symptomatic lymphoceles,compression symptoms persist,all patients were performed endovascular stent therapy,clinical symptoms of lower limb were completely relieved.Iliac vein stenosis caused by radiation and pelvic lymphocele secondary to gynecologic malignancy,endovascular stent placement is a nonsurgical alternative for the reestablishment of venous flow and sustained relief of symptoms.展开更多
文摘<strong>Introduction:</strong><span style="font-family:Verdana;"> The principal postoperative complication of mastectomies with</span><span style="font-family:Verdana;"> axillary dissection is the lymphocele that can last many months after surgery. The purpose of our study was to prevent its formation using the padding.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> Sixty-one patients have been included in our study. The follow-up was 6 months. The patients were divided in two groups through a random draw (simple drainage and drainage associated with padding). All patients had a mastectomy with axillary dissection following the Madden technique. All quantities of lymphoceles during postoperative hospitalization and ambulatory care have been noted.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Twenty-five patients had benefited f</span><span style="font-family:Verdana;">rom</span><span style="font-family:Verdana;"> the padding and 36 of a simple axillary drainage. Six months after the surgery, the patients benefitting from the padding had a quantity of lymphocele equal to half that of the control group (761.83 mL against 1373.60 mL;p = 0.01). During the postoperative hospitalization, the quantities were of 362.80 mL for the padding group versus 630.83 mL;p < 0.01. The hospitalization period was shorter for the padding patients (3.72 days vs 5.14 days;p = 0.01). However, pain was greater for the padding group upon 6 months (0.26 vs 0.10;p = 0.04). On another note, padding does not influence the duration of the surgery.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The production of postoperative lymphocele is heterogenous, varying from one patient to another. Nevertheless, the padding of the mastectomy compartment and of the axillary cavity allow</span><span style="font-family:Verdana;">s</span><span style="font-family:Verdana;"> a noticeable reduction of the produced quantity and of the hospitalization period at the expense of more pain.</span>
文摘Over the past two years,6 patients had iliac vein stenosis caused by radiation and pelvic lymphocele secondary to gynecologic malignancy.Patients had symptomatic lymphoceles induced lower limb edema.Poor treatment of symptomatic lymphoceles,compression symptoms persist,all patients were performed endovascular stent therapy,clinical symptoms of lower limb were completely relieved.Iliac vein stenosis caused by radiation and pelvic lymphocele secondary to gynecologic malignancy,endovascular stent placement is a nonsurgical alternative for the reestablishment of venous flow and sustained relief of symptoms.
