Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer
Background. The aim of this study is to detect possible risk factors for development of short- and long-term local complications after inguinofemoral lymphadenectomy for vulval cancer. Methods. This retrospective cohort study included 34 vulval cancer patients that received inguinofemoral lymphadene...
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| Language: | English |
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Wiley
2012-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/2012/341253 |
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| author | A. A. Soliman M. Heubner R. Kimmig P. Wimberger |
| author_facet | A. A. Soliman M. Heubner R. Kimmig P. Wimberger |
| author_sort | A. A. Soliman |
| collection | DOAJ |
| description | Background. The aim of this study is to detect possible risk factors for development of short- and long-term local complications after inguinofemoral lymphadenectomy for vulval cancer. Methods. This retrospective cohort study included 34 vulval cancer patients that received inguinofemoral lymphadenectomy. The detected complications were wound cellulitis, wound seroma formation, wound breakdown, wound infection, and limb lymphoedema. Followup of the patient ran up to 84 months after surgery.
Results. Within a total of 64 inguinofemoral lymphadenectomies, 24% of the inguinal wounds were affected with cellulitis, 13% developed a seroma, 10% suffered wound breakdown, 5% showed lower limb edema within a month of the operation, and 21.4% showed lower limb edema during the long-term followup. No significant correlation could be found between saphenous vein ligation and the development of any of the local complications. The 3-year survival rate in our cohort was 89.3%. Conclusions. Local complications after inguino-femoral lymphadenectomy are still very high, with no single pre-, intra-, or postoperative factor that could be incriminated. Saphenous vein sparing provided no significant difference in decreasing the rate of local complications. More trials should be done to study the sentinel lymph node detection technique. |
| format | Article |
| id | doaj-art-100f25d32a954f7088c426cefbc33e42 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-100f25d32a954f7088c426cefbc33e422025-02-03T06:01:08ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/341253341253Morbidity of Inguinofemoral Lymphadenectomy in Vulval CancerA. A. Soliman0M. Heubner1R. Kimmig2P. Wimberger3Department of Obstetrics and Gynaecology, Shatby Maternity University Hospital, University of Alexandria, Port Said Street, El Shatby, Alexandria 21526, EgyptDepartment of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen, GermanyDepartment of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen, GermanyDepartment of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen, GermanyBackground. The aim of this study is to detect possible risk factors for development of short- and long-term local complications after inguinofemoral lymphadenectomy for vulval cancer. Methods. This retrospective cohort study included 34 vulval cancer patients that received inguinofemoral lymphadenectomy. The detected complications were wound cellulitis, wound seroma formation, wound breakdown, wound infection, and limb lymphoedema. Followup of the patient ran up to 84 months after surgery. Results. Within a total of 64 inguinofemoral lymphadenectomies, 24% of the inguinal wounds were affected with cellulitis, 13% developed a seroma, 10% suffered wound breakdown, 5% showed lower limb edema within a month of the operation, and 21.4% showed lower limb edema during the long-term followup. No significant correlation could be found between saphenous vein ligation and the development of any of the local complications. The 3-year survival rate in our cohort was 89.3%. Conclusions. Local complications after inguino-femoral lymphadenectomy are still very high, with no single pre-, intra-, or postoperative factor that could be incriminated. Saphenous vein sparing provided no significant difference in decreasing the rate of local complications. More trials should be done to study the sentinel lymph node detection technique.http://dx.doi.org/10.1100/2012/341253 |
| spellingShingle | A. A. Soliman M. Heubner R. Kimmig P. Wimberger Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer The Scientific World Journal |
| title | Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer |
| title_full | Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer |
| title_fullStr | Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer |
| title_full_unstemmed | Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer |
| title_short | Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer |
| title_sort | morbidity of inguinofemoral lymphadenectomy in vulval cancer |
| url | http://dx.doi.org/10.1100/2012/341253 |
| work_keys_str_mv | AT aasoliman morbidityofinguinofemorallymphadenectomyinvulvalcancer AT mheubner morbidityofinguinofemorallymphadenectomyinvulvalcancer AT rkimmig morbidityofinguinofemorallymphadenectomyinvulvalcancer AT pwimberger morbidityofinguinofemorallymphadenectomyinvulvalcancer |