A study of the effect of sartorius transposition on lymph flow after ilioinguinal node dissection

Annals of Plastic Surgery
Paolo ErbaDaniel F Kalbermatten

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).

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Citations

Oct 31, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Robert TauberTobias Maurer
Aug 19, 2010·Urology·Chris F HeynsHendrik van Poppel
May 12, 2017·World Journal of Surgical Oncology·Johannes BaurJörg O W Pelz
Nov 17, 2009·Clinics in Plastic Surgery·William W Dzwierzynski

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