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Evaluation of sclerotherapy for the treatment of infected postoperative lymphocele

Title
Evaluation of sclerotherapy for the treatment of infected postoperative lymphocele
Authors
Kim, YoudongJeon, Gyeong SikChoi, Sun YoungKim, Man DeukLee, Shin Jae
Ewha Authors
최선영
SCOPUS Author ID
최선영scopus
Issue Date
2017
Journal Title
TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY
ISSN
1028-4559JCR Link
Citation
vol. 56, no. 4, pp. 477 - 481
Keywords
InfectionLymphoceleSclerotherapyCatheterization
Publisher
ELSEVIER TAIWAN
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Objective: To evaluate the efficacy and safety of sclerotherapy as the treatment of infected postoperative lymphocele in gynecologic malignancy patients. Materials and methods: Percutaneous catheter drainage (PCD) with or without sclerotherapy was performed for postoperative lymphocele in 75 patients from 2002 to 2014. Eighty-eight lymphoceles (43 non-infected as group A, 45 infected as group B) in 75 patients (mean age +/- SD; 50.3 +/- 11.3) were included. Sclerotherapy was performed in 17 (39.5%, group A-S) lymphoceles in group A and 14 (31.1%, group B-S) in group B. Absolute ethanol was the most frequently used scierosant (28 of total 36 sessions). Mean follow-up period was 37 months (range: 1-154). Results: Sclerotherapy was clinically successful in 13 lymphoceles in both group A-S (76.5%) and group BS (92.9%) without statistical significance. Compared to the pre-sclerotherapy period, group B-S demonstrated significantly decreased drainage volume after sclerotherapy (662.7 ml vs. 100.6 ml, p = 0.019). Group A-S failed to demonstrate significant decrease in drainage volume after sclerotherapy. Recurrence occurred in 4 patients in group A-S and 1 in group B-S, without statistical significance. No major complication was noted. Conclusion: Sclerotherapy significantly reduces the drainage volume, and might help shorten catheter placement time in infected lymphoceles. (C) 2017 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V.
DOI
10.1016/j.tjog.2016.10.002
Appears in Collections:
의과대학 > 의학과 > Journal papers
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