title: Gross vulval edema after laparoscopic instillation of 4% icodextrin solution.
abstract: Severe vulval edema after laparoscopic ovarian cystectomy with instillation of adhesion-prevention solution (4% icodextrin) is a rare complication. A 17-year-old girl was readmitted to the hospital 2 days after laparoscopic ovarian cystectomy with massive vulval swelling, pain, and anxiety. Gross swelling was potentially caused by accumulation of fluid 4% icodextrin in the labia. The condition resolved spontaneously with application of ice packs and bed rest. Possible mechanisms of this complication are discussed as is the importance of adequate counseling and consent before surgery when adhesion prevention solutions are to be administered.
authors.affiliation: University Hospital of Wales National Health Service Trust, Cardiff, United Kingdom. lidiaewa@yahoo.com
authors.forename: Lidia Ewa
authors.initials: LE
authors.lastname: Kwasnicka
authors.forename: Richard
authors.initials: R
authors.lastname: Penketh
mesh_terms: D000293:Adolescent; D004234:Diuretics, Osmotic / Q000009:adverse effects*; D004487:Edema / Q000139:chemically induced*; D005260:Female; D005936:Glucans / Q000009:adverse effects*; D005947:Glucose / Q000009:adverse effects*; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D000077607:Icodextrin; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D010048:Ovarian Cysts / Q000601:surgery; D014844:Vulva / Q000473:pathology; D014845:Vulvar Diseases / Q000139:chemically induced*
chemical_list: D004234:Diuretics, Osmotic; D005936:Glucans; D000077607:Icodextrin; D005947:Glucose