A study of the effect of sartorius transposition on lymph flow after ilioinguinal node dissection.
Ilioinguinal dissection is associated with a high rate of lymphatic complications. Prolonged lymph flow causes greatest concern and preventive strategies are needed. A retrospective study of 28 consecutive patients undergoing groin dissection for melanoma metastases was performed to evaluate the influence of sartorius muscle transposition on lymph flow. Modification of the surgical technique with transposition of the sartorius muscle was not associated with reduced drainage time (P = 0.66). A 2-staged approach, with initial sentinel lymph node resection and lymph node dissection in a second operation, however, lead to shortened duration of the lymph flow (P = 0.01). Prolonged lymphorrhea was more frequent in older (P = 0.03), obese (P = 0.02) patients affected by diabetes mellitus (P = 0.03) and hypertension (P = 0.04).
Erba
Paolo
P
Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital of Basel, CH-4031 Basel, Switzerland. perba@uhbs.ch
Wettstein
Reto
R
Rieger
Ulrich M
UM
Haug
Martin
M
Pierer
Gerhard
G
Kalbermatten
Daniel F
DF
D004322:Drainage / Q000379:methods; D005260:Female; D006119:Groin / Q000601:surgery; D006801:Humans; D008196:Lymph; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000503:physiopathology*; D008207:Lymphatic Metastasis; D042601:Lymphatic Vessels / Q000503:physiopathology*; D008297:Male; D008545:Melanoma / Q000556:secondary* / Q000601:surgery*; D008875:Middle Aged; D012878:Skin Neoplasms / Q000601:surgery; D013524:Surgical Flaps