Do Groin Drains Reduce Postoperative Morbidity in Women Undergoing Inguinofemoral Lymphadenectomy for Vulvar Cancer?

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Jennifer PontrePaul A Cohen

Abstract

Sentinel lymph node biopsy has been widely adopted in the surgical management of women with early-stage vulvar cancer, but many patients require inguinofemoral lymphadenectomy (IFL). Following IFL, many surgeons drain the groin to prevent lymphocyst formation despite a lack of evidence to support this practice. Our objective was to investigate whether groin drains after IFL are associated with reduced postoperative morbidity in women undergoing surgery for vulvar cancer. A retrospective cohort study of women diagnosed as having primary vulvar cancer who underwent vulvectomy/radical local excision and unilateral or bilateral IFL was conducted. Cases were ascertained from the weekly outcome reports of a statewide tertiary gynecologic oncology tumor board. Data including postoperative outcomes were abstracted from medical records. Patients were stratified into 1 of 2 groups according to whether a groin drain had been used. Seventy-one patients were included. Inguinal drains were used in 48 patients (67.6%) and 23 patients (32.4%) did not have their groin wound(s) drained. The most common postoperative complications recorded were wound infection (59.2%), groin lymphocyst (32.4%), and cellulitis (25.4%). The mean length of hospital ...Continue Reading

References

Feb 19, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Ate G J Van der ZeeWim J Sluiter
Apr 16, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Sergio Pecorelli
Oct 6, 2011·British Journal of Cancer·F HintenJ A de Hullu
Oct 15, 2011·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Kate F WalkerTim Duncan
May 30, 2015·Gynecologic Oncology·Brian M SlomovitzCharles Levenback
Jun 23, 2016·Annals of Oncology : Official Journal of the European Society for Medical Oncology·A A ClancyJ I Weberpals
Jan 4, 2017·Journal of the National Comprehensive Cancer Network : JNCCN·Thanh H DellingerErnest S Han

❮ Previous
Next ❯

Citations

Apr 20, 2020·Archives of Gynecology and Obstetrics·Peter DallMareike Bommert
Jul 6, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jo MorrisonChristina Fotopoulou
Jul 28, 2020·American Journal of Obstetrics and Gynecology·Alon D AltmanGregg Nelson

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cellulitis

Cellulitis (erysipelas) is a recurring and debilitating bacterial infection of the skin and underlying tissue. Discover the latest research on cellulitis here.