Artificial Dura Film for femoral vessel coverage after inguinofemoral lymphadenectomy.
Eleven patients undergoing inguinofemoral lymphadenectomy for carcinoma of the vulva had the femoral vessels covered with Dura Film (Codman, Randolph, MA); a total of 21 groins were explored. The Dura Film was sutured to the inguinal ligament, sartorius muscle fascia, and adductor longus fascia. Nine of the 21 groins became infected with 3 of these breaking down; each of these 3 required removal of the Dura Film to achieve satisfactory healing. One patient developed a unilateral inflammatory groin mass requiring surgical removal of the Dura Film. One patient developed a chronic draining sinus that required surgical intervention. Seven groins developed lymphocysts. The morbidity was high with 9 of the 11 patients experiencing complications. Coverage of the femoral vessels with Dura Film after inguinofemoral lymphadenectomy is not an effective alternative to human dura mater or sartorius muscle transplant.
Finan
M A
MA
Division of Gynecologic Oncology, University of South Florida College of Medicine, Tampa 33612.
Fiorica
J V
JV
Roberts
W S
WS
Hoffman
M S
MS
Gleeson
N
N
Barton
D P
DP
Cavanagh
D
D
D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D007264:Inguinal Canal; D008197:Lymph Node Excision / Q000379:methods; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012826:Silicone Elastomers; D014846:Vulvar Neoplasms / Q000601:surgery
D001672:Biocompatible Materials; D011093:Polyethylene Terephthalates; D012826:Silicone Elastomers