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Morbidity following groin dissection for penile carcinoma.

Identifieur interne : 00CC36 ( Main/Exploration ); précédent : 00CC35; suivant : 00CC37

Morbidity following groin dissection for penile carcinoma.

Auteurs : R. Ravi [Inde]

Source :

RBID : pubmed:8306161

Descripteurs français

English descriptors

Abstract

From 1962 to 1990, 231 inguinal and 174 ilio-inguinal lymphadenectomies were performed on 234 patients with penile carcinoma. The morbidity of inguinal lymphadenectomy included wound infection in 18%, skin edge necrosis in 61%, seroma formation in 5% of dissections, and lymphoedema in 25% of limbs. The morbidity of ilio-inguinal lymphadenectomy included wound infection in 14%, skin edge necrosis in 64%, seroma formation in 9% of dissections, and lymphoedema in 29% of limbs. Pre-operative radiation to the groin significantly increased the healing complications. The routine use of a myocutaneous flap for primary reconstruction of the groin following ilio-inguinal lymphadenectomy resulted in 100% primary wound healing and significantly reduced the post-operative hospital stay to a mean of 10 days.

PubMed: 8306161


Affiliations:


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Le document en format XML

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<nlm:affiliation>Department of Genitourinary Surgery, Cancer Institute (W.I.A.), Madras, India.</nlm:affiliation>
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<term>Length of Stay</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymphatic Metastasis</term>
<term>Male</term>
<term>Penile Neoplasms (pathology)</term>
<term>Penile Neoplasms (surgery)</term>
<term>Postoperative Complications</term>
<term>Skin Transplantation</term>
<term>Wound Healing (radiation effects)</term>
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<term>Canal inguinal</term>
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<term>Transplantation de peau</term>
<term>Tumeurs du pénis ()</term>
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<term>Lymph Node Excision</term>
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<term>Tumeurs du pénis</term>
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<keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr">
<term>Cicatrisation de plaie</term>
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<term>Lymphadénectomie</term>
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<term>Lymph Node Excision</term>
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<term>Penile Neoplasms</term>
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<term>Wound Healing</term>
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<term>Penile Neoplasms</term>
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<term>Lymphadénectomie</term>
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<div type="abstract" xml:lang="en">From 1962 to 1990, 231 inguinal and 174 ilio-inguinal lymphadenectomies were performed on 234 patients with penile carcinoma. The morbidity of inguinal lymphadenectomy included wound infection in 18%, skin edge necrosis in 61%, seroma formation in 5% of dissections, and lymphoedema in 25% of limbs. The morbidity of ilio-inguinal lymphadenectomy included wound infection in 14%, skin edge necrosis in 64%, seroma formation in 9% of dissections, and lymphoedema in 29% of limbs. Pre-operative radiation to the groin significantly increased the healing complications. The routine use of a myocutaneous flap for primary reconstruction of the groin following ilio-inguinal lymphadenectomy resulted in 100% primary wound healing and significantly reduced the post-operative hospital stay to a mean of 10 days.</div>
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