Povidone-iodine sclerosis of pelvic lymphoceles: a prospective study.
Twelve patients presented for percutaneous catheter drainage of 13 postoperative pelvic lymphoceles. Six patients with 7 lymphoceles were treated with povidone-iodine sclerosis prior to catheter removal. Only 1 lymphocele (which continued to drain large amounts of fluid during and after the sclerosis procedure) recurred. Six patients with 6 lymphoceles had their percutaneous catheters removed without sclerosis. Fluid collections recurred in 3 instances, necessitating repeat percutaneous drainage (2 patients) or surgery (1 patient). Percutaneous therapy is the treatment of choice for patients with postoperative lymphoceles. Povidone-iodine sclerosis is often effective in preventing reaccumulation of fluid once the lymphocele cavity is collapsed.
Cohan
R H
RH
Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710.
Saeed
M
M
Schwab
S J
SJ
Perlmutt
L M
LM
Dunnick
N R
NR
D000328:Adult; D004322:Drainage; D005260:Female; D006801:Humans; D008206:Lymphatic Diseases / Q000628:therapy*; D008210:Lymphocele / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011205:Povidone / Q000031:analogs & derivatives*; D011206:Povidone-Iodine / Q000627:therapeutic use*; D011446:Prospective Studies; D012597:Sclerosing Solutions / Q000627:therapeutic use*
D012597:Sclerosing Solutions; D011206:Povidone-Iodine; D011205:Povidone