[Value of non-reperitonization for preventing lymphocele after extended lymphadeno-colpo-hysterectomy. Our experience in a comparative retrospective series of 124 cases].
Pelvic lymphadenectomy for genital cancer can lead to numerous complications, particularly lymphoceles. Two types of drainage were compared in a series of 124 patients treated by extended lymphadeno-colpo-hysterectomy. In the first group (n = 83), hermetic peritonization with aspiration drainage was performed, and in the second group (n = 41), non-peritonization combined with omentoplasty was performed. Lymphoceles developed in 20% of patients in the first group (17 cases), requiring 7% of repeat operations (5 cases). Lymphoceles occurred in only one patient in the second group. The combined use of the reabsorption qualities of peritoneum and omentum avoids lymphoceles complications, particularly in patients previously treated by external radiotherapy.
Caubel
P
P
Balladur
A
A
Foulques
H
H
Zamora
A
A
Lefranc
J P
JP
Blondon
J
J
D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008197:Lymph Node Excision / Q000009:adverse effects*; D008206:Lymphatic Diseases / Q000517:prevention & control*; D008210:Lymphocele / Q000517:prevention & control*; D008875:Middle Aged; D012189:Retrospective Studies; D013396:Suction; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*
Intérêt de la non-repéritonisation pour le traitement préventif des lymphocèles après lymphadéno-colpo-hystérectomie élargie. Notre expérience sur une série comparative rtrospective de 124 cas.