[Preventive treatment of lymphoceles after enlarged lymphadeno-colpohysterectomy: non-reperitonization with epiplooplasty].
Pelvic lymphadenectomy for genital cancer can lead to numerous complications, particularly lymphoceles. Two types of drainage were compared in a series of 86 patients treated by enlarged lymphadeno-colpohysterectomy. In the first group (n = 66), hermetic peritonization with aspiration drainage was performed and in the second group (n = 20), non-peritonization combined with omentoplasty was practiced. Lymphoceles developed in 23% of patients in group I, requiring 7.7% of recovery operations (5 cases). Lymphoceles did not occur in group 2. Qualities of reabsorption of peritoneum and omentum are discussed. Their combined use to avoid lymphocele complications is of benefit, particularly in patients receiving preoperative pelvic radiotherapy.
D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D008197:Lymph Node Excision / Q000009:adverse effects*; D008202:Lymphangioma / Q000209:etiology / Q000517:prevention & control*; D009852:Omentum / Q000601:surgery*; D010537:Peritoneum / Q000601:surgery; D013396:Suction
Un traitement préventif des lymphocèles après lymphadéno-colpo-hystérectomie élargie (L.C.H.E.): la non repéritonisation avec épiplooplastie.