Closed-suction drainage versus no drainage following radical abdominal hysterectomy with pelvic lymphadenectomy for stage IB cervical cancer.
Over a 7-year period from 1987 to 1994, 120 patients consecutive patients with FIGO stage IB invasive cervical cancer who underwent type 3 radical abdominal hysterectomy and bilateral pelvic lymphadenectomy had either Jackson-Pratt closed-suction drainage (Group 1, patients 1-60) or no drainage (Group 2, patients 61-120). All surgeries were performed by the author in a uniform manner. No increase in postoperative pelvic infection, fistula, or lymphocyst formation was noted in the group of patients with no drainage following radical hysterectomy and lymphadenectomy. Routine closed-suction drainage following radical hysterectomy and pelvic lymphadenectomy may be safely omitted.
Patsner
B
B
New Jersey Gynecologic Oncology, P.A., Little Silver, New Jersey 07739, USA.
D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D008875:Middle Aged; D009367:Neoplasm Staging; D010388:Pelvis; D011446:Prospective Studies; D013396:Suction / Q000379:methods*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*