Successful management of recalcitrant groin lymphorrhoea with the combination of intraoperative lymphatic mapping and muscle flap.
Recalcitrant groin lymphorrhoea in high-risk patients remains a problem. In this report, a cardiac transplant patient with recalcitrant groin lymphorrhoea was successfully treated with a combination of intraoperative lymphatic mapping and sartorius muscle flap. We believe that the combined use of these two treatment options offers a more effective approach for surgical treatment of recalcitrant groin lymphorrhoea and should be considered when managing this difficult clinical problem, especially in high-risk patients.
Pu
Lee L Q
LL
Division of Plastic Surgery, University of Kentucky College of Medicine, Kentucky Clinic, K454, Lexington, KY 40536-0284, USA. lpu@uky.edu
Jahania
M Salik
MS
Mentzer
Robert M
RM
D006119:Groin / Q000601:surgery; D016027:Heart Transplantation / Q000009:adverse effects; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D008206:Lymphatic Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D042601:Lymphatic Vessels / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D013524:Surgical Flaps