Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer
Identifieur interne : 004104 ( Main/Exploration ); précédent : 004103; suivant : 004105Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer
Auteurs : A. A. Soliman [Égypte] ; M. Heubner [Allemagne] ; R. Kimmig [Allemagne] ; P. Wimberger [Allemagne]Source :
- The Scientific World Journal [ 2356-6140 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- epidemiology : Cellulitis, Postoperative Complications, Surgical Wound Dehiscence, Surgical Wound Infection.
- surgery : Inguinal Canal, Vulvar Neoplasms.
- Female, Humans, Lymph Node Excision, Morbidity, Retrospective Studies.
Abstract
Url:
DOI: 10.1100/2012/341253
PubMed: 22262953
PubMed Central: 3259693
Affiliations:
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Heubner</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen</wicri:regionArea><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion></affiliation></author><author><name sortKey="Kimmig, R" sort="Kimmig, R" uniqKey="Kimmig R" first="R." last="Kimmig">R. Kimmig</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen</wicri:regionArea><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion></affiliation></author><author><name sortKey="Wimberger, P" sort="Wimberger, P" uniqKey="Wimberger P" first="P." last="Wimberger">P. Wimberger</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen</wicri:regionArea><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22262953</idno><idno type="pmc">3259693</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3259693</idno><idno type="RBID">PMC:3259693</idno><idno type="doi">10.1100/2012/341253</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002701</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002701</idno><idno type="wicri:Area/Pmc/Curation">002700</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002700</idno><idno type="wicri:Area/Pmc/Checkpoint">002876</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002876</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">002304</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002304</idno><idno type="wicri:Area/PubMed/Curation">002304</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002304</idno><idno type="wicri:Area/PubMed/Checkpoint">002304</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002304</idno><idno type="wicri:Area/Ncbi/Merge">004996</idno><idno type="wicri:Area/Ncbi/Curation">004996</idno><idno type="wicri:Area/Ncbi/Checkpoint">004996</idno><idno type="wicri:doubleKey">2356-6140:2012:Soliman A:morbidity:of:inguinofemoral</idno><idno type="wicri:Area/Main/Merge">004118</idno><idno type="wicri:Area/Main/Curation">004104</idno><idno type="wicri:Area/Main/Exploration">004104</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer</title><author><name sortKey="Soliman, A A" sort="Soliman, A A" uniqKey="Soliman A" first="A. A." last="Soliman">A. A. Soliman</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Obstetrics and Gynaecology, Shatby Maternity University Hospital, University of Alexandria, Port Said Street, El Shatby, Alexandria 21526, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Obstetrics and Gynaecology, Shatby Maternity University Hospital, University of Alexandria, Port Said Street, El Shatby, Alexandria 21526</wicri:regionArea><wicri:noRegion>Alexandria 21526</wicri:noRegion></affiliation></author><author><name sortKey="Heubner, M" sort="Heubner, M" uniqKey="Heubner M" first="M." last="Heubner">M. Heubner</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen</wicri:regionArea><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion></affiliation></author><author><name sortKey="Kimmig, R" sort="Kimmig, R" uniqKey="Kimmig R" first="R." last="Kimmig">R. Kimmig</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen</wicri:regionArea><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion></affiliation></author><author><name sortKey="Wimberger, P" sort="Wimberger, P" uniqKey="Wimberger P" first="P." last="Wimberger">P. Wimberger</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Gynaecology and Obstetrics, University of Duisburg-Essen, Hufelandstraße 55, 45122 Essen</wicri:regionArea><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion><wicri:noRegion>45122 Essen</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Scientific World Journal</title><idno type="ISSN">2356-6140</idno><idno type="eISSN">1537-744X</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cellulitis (epidemiology)</term><term>Female</term><term>Humans</term><term>Inguinal Canal (surgery)</term><term>Lymph Node Excision</term><term>Morbidity</term><term>Postoperative Complications (epidemiology)</term><term>Retrospective Studies</term><term>Surgical Wound Dehiscence (epidemiology)</term><term>Surgical Wound Infection (epidemiology)</term><term>Vulvar Neoplasms (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Canal inguinal ()</term><term>Cellulite sous-cutanée (épidémiologie)</term><term>Complications postopératoires (épidémiologie)</term><term>Femelle</term><term>Humains</term><term>Infection de plaie opératoire (épidémiologie)</term><term>Lymphadénectomie</term><term>Lâchage de suture (épidémiologie)</term><term>Morbidité</term><term>Tumeurs de la vulve ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cellulitis</term><term>Postoperative Complications</term><term>Surgical Wound Dehiscence</term><term>Surgical Wound Infection</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Inguinal Canal</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Cellulite sous-cutanée</term><term>Complications postopératoires</term><term>Infection de plaie opératoire</term><term>Lâchage de suture</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Lymph Node Excision</term><term>Morbidity</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Canal inguinal</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Morbidité</term><term>Tumeurs de la vulve</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Background</italic>. 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. <italic>Methods</italic>. 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.
<italic>Results</italic>. 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%. <italic>Conclusions</italic>. 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.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Stehman, Fb" uniqKey="Stehman F">FB Stehman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Green, Th" uniqKey="Green T">TH Green</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Taussig, Fj" uniqKey="Taussig F">FJ Taussig</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hacker, Nf" uniqKey="Hacker N">NF Hacker</name></author><author><name sortKey="Leuchter, Rs" uniqKey="Leuchter R">RS Leuchter</name></author><author><name sortKey="Berek, Js" uniqKey="Berek J">JS Berek</name></author><author><name sortKey="Castaldo, Tw" uniqKey="Castaldo T">TW Castaldo</name></author><author><name sortKey="Lagasse, Ld" uniqKey="Lagasse L">LD 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Coleman</name></author><author><name sortKey="Burke, Tw" uniqKey="Burke T">TW Burke</name></author><author><name sortKey="Bodurka Bevers, D" uniqKey="Bodurka Bevers D">D Bodurka-Bevers</name></author><author><name sortKey="Wolf, Jk" uniqKey="Wolf J">JK Wolf</name></author><author><name sortKey="Gershenson, Dm" uniqKey="Gershenson D">DM Gershenson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Merisio, C" uniqKey="Merisio C">C Merisio</name></author><author><name sortKey="Berretta, R" uniqKey="Berretta R">R Berretta</name></author><author><name sortKey="Gualdi, M" uniqKey="Gualdi M">M Gualdi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rob, L" uniqKey="Rob L">L Rob</name></author><author><name sortKey="Robova, H" uniqKey="Robova H">H Robova</name></author><author><name sortKey="Pluta, M" uniqKey="Pluta M">M Pluta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Radziszewski, J" uniqKey="Radziszewski J">J Radziszewski</name></author><author><name sortKey="Kowalewska, M" uniqKey="Kowalewska M">M Kowalewska</name></author><author><name sortKey="Jedrzejczak, T" uniqKey="Jedrzejczak T">T Jedrzejczak</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Der Zee, Agj" uniqKey="Van Der Zee A">AGJ Van Der Zee</name></author><author><name sortKey="Oonk, Mh" uniqKey="Oonk M">MH Oonk</name></author><author><name sortKey="De Hullu, Ja" uniqKey="De Hullu J">JA De Hullu</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Égypte</li></country></list><tree><country name="Égypte"><noRegion><name sortKey="Soliman, A A" sort="Soliman, A A" uniqKey="Soliman A" first="A. A." last="Soliman">A. A. Soliman</name></noRegion></country><country name="Allemagne"><noRegion><name sortKey="Heubner, M" sort="Heubner, M" uniqKey="Heubner M" first="M." last="Heubner">M. Heubner</name></noRegion><name sortKey="Kimmig, R" sort="Kimmig, R" uniqKey="Kimmig R" first="R." last="Kimmig">R. Kimmig</name><name sortKey="Wimberger, P" sort="Wimberger, P" uniqKey="Wimberger P" first="P." last="Wimberger">P. Wimberger</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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