title: How to locate and treat lymph leaks using patent blue V dye and Floseal.
abstract: Lymph leaks after vascular groin dissections can be a challenging postoperative complication for both patient and surgeon. A multidisciplinary team at a district general hospital in the United Kingdom consisting of breast, plastic, and vascular surgeons performed intraoperative lymphatic mapping using patent blue V dye to locate the exact location of a groin lymph leak before sealing the leak with direct vision ligation and Floseal Hemostatic Matrix (Baxter Healthcare Corp., Hayward, CA).
authors.affiliation: Department of Vascular Surgery, Barnet General Hospital, Barnet, United Kingdom; Discipline of Surgery, School of Medicine, University of Queensland, Queensland, Australia. Electronic address: mail@andrewchoong.com.
authors.forename: Andrew M T L
authors.initials: AM
authors.lastname: Choong
authors.affiliation: Department of Vascular Surgery, Barnet General Hospital, Barnet, United Kingdom.
authors.forename: Swethan
authors.initials: S
authors.lastname: Alagaratnam
authors.affiliation: Department of Plastic and Reconstructive Surgery, Royal Free Hospital, London, United Kingdom.
authors.forename: David
authors.initials: D
authors.lastname: Floyd
authors.affiliation: Department of Vascular Surgery, Barnet General Hospital, Barnet, United Kingdom.
authors.forename: Muhamed
authors.initials: M
authors.lastname: Al-Dubaisi
authors.affiliation: Department of Vascular Surgery, Barnet General Hospital, Barnet, United Kingdom.
authors.forename: Alexander
authors.initials: A
authors.lastname: Loh
mesh_terms: D004396:Coloring Agents; D003131:Combined Modality Therapy; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use*; D006801:Humans; D008026:Ligation; D008206:Lymphatic Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012086:Reoperation; D012394:Rosaniline Dyes; D012501:Saphenous Vein / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*; D014689:Venous Insufficiency / Q000175:diagnosis / Q000601:surgery*
chemical_list: D004396:Coloring Agents; C411004:FloSeal Matrix; D012394:Rosaniline Dyes; C008769:sulfan blue