title: A study of the effect of sartorius transposition on lymph flow after ilioinguinal node dissection.
abstract: 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).
authors: Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital of Basel, CH-4031 Basel, Switzerland. perba@uhbs.ch
authors: Paolo
authors: P
authors: Erba
authors: Reto
authors: R
authors: Wettstein
authors: Ulrich M
authors: UM
authors: Rieger
authors: Martin
authors: M
authors: Haug
authors: Gerhard
authors: G
authors: Pierer
authors: Daniel F
authors: DF
authors: Kalbermatten
mesh_terms: 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