Inguinal lymphadenectomy for stage III melanoma: a comparative study of two surgical approaches at the onset of lymphoedema.
Identifieur interne : 001C53 ( Main/Merge ); précédent : 001C52; suivant : 001C54Inguinal lymphadenectomy for stage III melanoma: a comparative study of two surgical approaches at the onset of lymphoedema.
Auteurs : N. Bertheuil [France] ; L. Sulpice [France] ; G B Levi Sandri [France] ; V. Lavoué [France] ; E. Watier [France] ; B. Meunier [France]Source :
- European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology [ 1532-2157 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Canal inguinal, Femelle, Humains, Infection de plaie opératoire (étiologie), Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphoedème (étiologie), Lâchage de suture (étiologie), Maladie chronique, Mâle, Mélanome (), Mélanome (secondaire), Métastase lymphatique, Nécrose (étiologie), Peau (anatomopathologie), Stade de la tumeur, Sujet âgé, Sérome (étiologie), Tumeurs cutanées (), Tumeurs cutanées (anatomopathologie).
- MESH :
- anatomopathologie : Peau, Tumeurs cutanées.
- effets indésirables : Lymphadénectomie.
- secondaire : Mélanome.
- étiologie : Infection de plaie opératoire, Lymphoedème, Lâchage de suture, Nécrose, Sérome.
- Adulte, Adulte d'âge moyen, Canal inguinal, Femelle, Humains, Lymphadénectomie, Maladie chronique, Mâle, Mélanome, Métastase lymphatique, Stade de la tumeur, Sujet âgé, Tumeurs cutanées.
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
- Adult, Aged, Chronic Disease, Female, Humans, Inguinal Canal, Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymphatic Metastasis, Lymphedema (etiology), Male, Melanoma (secondary), Melanoma (surgery), Middle Aged, Necrosis (etiology), Neoplasm Staging, Seroma (etiology), Skin (pathology), Skin Neoplasms (pathology), Skin Neoplasms (surgery), Surgical Wound Dehiscence (etiology), Surgical Wound Infection (etiology).
- MESH :
- adverse effects : Lymph Node Excision.
- etiology : Lymphedema, Necrosis, Seroma, Surgical Wound Dehiscence, Surgical Wound Infection.
- methods : Lymph Node Excision.
- pathology : Skin, Skin Neoplasms.
- secondary : Melanoma.
- surgery : Melanoma, Skin Neoplasms.
- Adult, Aged, Chronic Disease, Female, Humans, Inguinal Canal, Lymphatic Metastasis, Male, Middle Aged, Neoplasm Staging.
- mix :
Abstract
When sentinel lymph node is positive for metastasis (exclusion for micro-metastasis) and in cases of palpable adenopathy, a lymphadenectomy should be performed. Many incisional surgical approach have been described in literature. We perform two type of incision (vertical with skin excision and transversal) for inguinal lymphadenectomy. The aim of this study was to compare post-operative morbidity between these two approach in cases of Stage III Melanoma. We analysed chronic lymphoedeme, skin necrosis, wound dehiscence, wound infection and seroma rates between the two techniques.
Url:
DOI: 10.1016/j.ejso.2014.10.062
PubMed: 25524886
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pubmed:25524886Le document en format XML
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Watier</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200 Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200 Rennes</wicri:regionArea><wicri:noRegion>35200 Rennes</wicri:noRegion><wicri:noRegion>35200 Rennes</wicri:noRegion></affiliation></author><author><name sortKey="Meunier, B" sort="Meunier, B" uniqKey="Meunier B" first="B" last="Meunier">B. Meunier</name><affiliation wicri:level="3"><nlm:affiliation>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author></analytic><series><title level="j">European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</title><idno type="eISSN">1532-2157</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Inguinal Canal</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Node Excision (methods)</term><term>Lymphatic Metastasis</term><term>Lymphedema (etiology)</term><term>Male</term><term>Melanoma (secondary)</term><term>Melanoma (surgery)</term><term>Middle Aged</term><term>Necrosis (etiology)</term><term>Neoplasm Staging</term><term>Seroma (etiology)</term><term>Skin (pathology)</term><term>Skin Neoplasms (pathology)</term><term>Skin Neoplasms (surgery)</term><term>Surgical Wound Dehiscence (etiology)</term><term>Surgical Wound Infection (etiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Canal inguinal</term><term>Femelle</term><term>Humains</term><term>Infection de plaie opératoire (étiologie)</term><term>Lymphadénectomie ()</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (étiologie)</term><term>Lâchage de suture (étiologie)</term><term>Maladie chronique</term><term>Mâle</term><term>Mélanome ()</term><term>Mélanome (secondaire)</term><term>Métastase lymphatique</term><term>Nécrose (étiologie)</term><term>Peau (anatomopathologie)</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sérome (étiologie)</term><term>Tumeurs cutanées ()</term><term>Tumeurs cutanées (anatomopathologie)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Peau</term><term>Tumeurs cutanées</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Necrosis</term><term>Seroma</term><term>Surgical Wound Dehiscence</term><term>Surgical Wound Infection</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Skin</term><term>Skin Neoplasms</term></keywords><keywords scheme="MESH" qualifier="secondaire" xml:lang="fr"><term>Mélanome</term></keywords><keywords scheme="MESH" qualifier="secondary" xml:lang="en"><term>Melanoma</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Melanoma</term><term>Skin Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Infection de plaie opératoire</term><term>Lymphoedème</term><term>Lâchage de suture</term><term>Nécrose</term><term>Sérome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Inguinal Canal</term><term>Lymphatic Metastasis</term><term>Male</term><term>Middle Aged</term><term>Neoplasm Staging</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Canal inguinal</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Maladie chronique</term><term>Mâle</term><term>Mélanome</term><term>Métastase lymphatique</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Tumeurs cutanées</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords><keywords scheme="mix" xml:lang="en"><term>Inguinal lymphadenectomy</term><term>Lymphoedema</term><term>Stage III melanoma</term><term>Surgery</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">When sentinel lymph node is positive for metastasis (exclusion for micro-metastasis) and in cases of palpable adenopathy, a lymphadenectomy should be performed. Many incisional surgical approach have been described in literature. We perform two type of incision (vertical with skin excision and transversal) for inguinal lymphadenectomy. The aim of this study was to compare post-operative morbidity between these two approach in cases of Stage III Melanoma. We analysed chronic lymphoedeme, skin necrosis, wound dehiscence, wound infection and seroma rates between the two techniques.</div></front></TEI><double doi="10.1016/j.ejso.2014.10.062"><HAL><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Inguinal Lymphadenectomy For Stage Iii Melanoma: A Comparative Study Of Two Surgical Approaches At The Onset Of Lymphoedema</title><author><name sortKey="Bertheuil, Nicolas" sort="Bertheuil, Nicolas" uniqKey="Bertheuil N" first="Nicolas" last="Bertheuil">Nicolas Bertheuil</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-139722" status="VALID"> <orgName>STROMALAB</orgName> <desc> <address> <addrLine>Canceropole Langlade BP5241 31432 Toulouse</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-217752" type="direct"></relation> <relation active="#struct-300164" type="direct"></relation> <relation name="U1031" active="#struct-303623" type="direct"></relation> <relation name="UMR5273" active="#struct-441569" type="direct"></relation> </listRelation><tutelles><tutelle active="#struct-217752" type="direct"><org type="institution" xml:id="struct-217752" status="VALID"> <orgName>Université Paul Sabatier - Toulouse 3</orgName> <orgName type="acronym">UPS</orgName> <desc> <address> <addrLine>118 route de Narbonne - 31062 Toulouse</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-tlse3.fr/</ref> </desc></org></tutelle><tutelle active="#struct-300164" type="direct"><org type="institution" xml:id="struct-300164" status="VALID"> <orgName>EFS</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle><tutelle name="U1031" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno> <orgName>Institut National de la Santé et de la Recherche Médicale</orgName> <orgName type="acronym">INSERM</orgName> <desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.inserm.fr</ref> </desc></org></tutelle><tutelle name="UMR5273" active="#struct-441569" type="direct"><org type="institution" xml:id="struct-441569" status="VALID"> <idno type="ISNI">0000000122597504</idno> <idno type="IdRef">02636817X</idno> <orgName>Centre National de la Recherche Scientifique</orgName> <orgName type="acronym">CNRS</orgName> <date type="start">1939-10-19</date> <desc> <address> <country key="FR"></country> </address> <ref type="url">http://www.cnrs.fr/</ref> </desc></org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Sulpice, Laurent" sort="Sulpice, Laurent" uniqKey="Sulpice L" first="Laurent" last="Sulpice">Laurent Sulpice</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-105755" status="INCOMING"> <orgName>Service de Chirurgie Hépatobiliaire et Digestive</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-105160" type="direct"></relation> <relation active="#struct-300129" type="direct"></relation> <relation active="#struct-301327" type="direct"></relation> </listRelation><tutelles><tutelle active="#struct-105160" type="direct"><org type="institution" xml:id="struct-105160" status="VALID"> <orgName>Université de Rennes 1</orgName> <orgName type="acronym">UR1</orgName> <desc> <address> <addrLine>2 rue du Thabor - CS 46510 - 35065 Rennes cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-rennes1.fr/</ref> </desc></org></tutelle><tutelle active="#struct-300129" type="direct"><org type="institution" xml:id="struct-300129" status="VALID"> <orgName>Hôpital Pontchaillou</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle><tutelle active="#struct-301327" type="direct"><org type="institution" xml:id="struct-301327" status="VALID"> <orgName>CHU Pontchaillou [Rennes]</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-rennes.fr/</ref> </desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Rennes</settlement><region type="region" nuts="2">Région Bretagne</region></placeName><orgName type="university">Université de Rennes 1</orgName><orgName type="institution" wicri:auto="newGroup">Université européenne de Bretagne</orgName></affiliation></author><author><name sortKey="Levi Sandri, Giovanni Battista" sort="Levi Sandri, Giovanni Battista" uniqKey="Levi Sandri G" first="Giovanni Battista" last="Levi Sandri">Giovanni Battista Levi Sandri</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-105755" status="INCOMING"> <orgName>Service de Chirurgie Hépatobiliaire et Digestive</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-105160" type="direct"></relation> <relation active="#struct-300129" type="direct"></relation> <relation active="#struct-301327" type="direct"></relation> </listRelation><tutelles><tutelle active="#struct-105160" type="direct"><org type="institution" xml:id="struct-105160" status="VALID"> <orgName>Université de Rennes 1</orgName> <orgName type="acronym">UR1</orgName> <desc> <address> <addrLine>2 rue du Thabor - CS 46510 - 35065 Rennes cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-rennes1.fr/</ref> </desc></org></tutelle><tutelle active="#struct-300129" type="direct"><org type="institution" xml:id="struct-300129" status="VALID"> <orgName>Hôpital Pontchaillou</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle><tutelle active="#struct-301327" type="direct"><org type="institution" xml:id="struct-301327" status="VALID"> <orgName>CHU Pontchaillou [Rennes]</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-rennes.fr/</ref> </desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Rennes</settlement><region type="region" nuts="2">Région Bretagne</region></placeName><orgName type="university">Université de Rennes 1</orgName><orgName type="institution" wicri:auto="newGroup">Université européenne de Bretagne</orgName></affiliation></author><author><name sortKey="Lavoue, Vincent" sort="Lavoue, Vincent" uniqKey="Lavoue V" first="Vincent" last="Lavoué">Vincent Lavoué</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-85948" status="INCOMING"> <orgName>Pôle de gynécologie, obstétrique et médecine de la reproduction[Rennes]</orgName> <desc> <address> <addrLine>16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 2</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-301327" type="direct"></relation> <relation active="#struct-325076" type="direct"></relation> </listRelation><tutelles><tutelle active="#struct-301327" type="direct"><org type="institution" xml:id="struct-301327" status="VALID"> <orgName>CHU Pontchaillou [Rennes]</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-rennes.fr/</ref> </desc></org></tutelle><tutelle active="#struct-325076" type="direct"><org type="institution" xml:id="struct-325076" status="INCOMING"> <orgName>Hôpital Anne-de-Bretagne</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Watier, Eric" sort="Watier, Eric" uniqKey="Watier E" first="Eric" last="Watier">Eric Watier</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-117349" status="INCOMING"> <orgName>Service de Chirurgie Plastique</orgName> <desc> <address> <addrLine>Hôpital Pontchaillou Rennes</addrLine> <country key="FR"></country> </address> </desc></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Meunier, Bernard" sort="Meunier, Bernard" uniqKey="Meunier B" first="Bernard" last="Meunier">Bernard Meunier</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-105755" status="INCOMING"> <orgName>Service de Chirurgie Hépatobiliaire et Digestive</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-105160" type="direct"></relation> <relation active="#struct-300129" type="direct"></relation> <relation active="#struct-301327" type="direct"></relation> </listRelation><tutelles><tutelle active="#struct-105160" type="direct"><org type="institution" xml:id="struct-105160" status="VALID"> <orgName>Université de Rennes 1</orgName> <orgName type="acronym">UR1</orgName> <desc> <address> <addrLine>2 rue du Thabor - CS 46510 - 35065 Rennes cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-rennes1.fr/</ref> </desc></org></tutelle><tutelle active="#struct-300129" type="direct"><org type="institution" xml:id="struct-300129" status="VALID"> <orgName>Hôpital Pontchaillou</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle><tutelle active="#struct-301327" type="direct"><org type="institution" xml:id="struct-301327" status="VALID"> <orgName>CHU Pontchaillou [Rennes]</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-rennes.fr/</ref> </desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Rennes</settlement><region type="region" nuts="2">Région Bretagne</region></placeName><orgName type="university">Université de Rennes 1</orgName><orgName type="institution" wicri:auto="newGroup">Université européenne de Bretagne</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">HAL</idno><idno type="RBID">Hal:hal-01103387</idno><idno type="halId">hal-01103387</idno><idno type="halUri">https://hal-univ-rennes1.archives-ouvertes.fr/hal-01103387</idno><idno type="url">https://hal-univ-rennes1.archives-ouvertes.fr/hal-01103387</idno><idno type="doi">10.1016/j.ejso.2014.10.062</idno><date when="2014-12-09">2014-12-09</date><idno type="wicri:Area/Hal/Corpus">000002</idno><idno type="wicri:Area/Hal/Curation">000002</idno><idno type="wicri:Area/Hal/Checkpoint">000002</idno><idno type="wicri:explorRef" wicri:stream="Hal" wicri:step="Checkpoint">000002</idno><idno type="wicri:doubleKey">0748-7983:2014:Bertheuil N:inguinal:lymphadenectomy:for</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Inguinal Lymphadenectomy For Stage Iii Melanoma: A Comparative Study Of Two Surgical Approaches At The Onset Of Lymphoedema</title><author><name sortKey="Bertheuil, Nicolas" sort="Bertheuil, Nicolas" uniqKey="Bertheuil N" first="Nicolas" last="Bertheuil">Nicolas Bertheuil</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-139722" status="VALID"> <orgName>STROMALAB</orgName> <desc> <address> <addrLine>Canceropole Langlade BP5241 31432 Toulouse</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-217752" type="direct"></relation> <relation active="#struct-300164" type="direct"></relation> <relation name="U1031" active="#struct-303623" type="direct"></relation> <relation name="UMR5273" active="#struct-441569" type="direct"></relation> </listRelation><tutelles><tutelle active="#struct-217752" type="direct"><org type="institution" xml:id="struct-217752" status="VALID"> <orgName>Université Paul Sabatier - Toulouse 3</orgName> <orgName type="acronym">UPS</orgName> <desc> <address> <addrLine>118 route de Narbonne - 31062 Toulouse</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-tlse3.fr/</ref> </desc></org></tutelle><tutelle active="#struct-300164" type="direct"><org type="institution" xml:id="struct-300164" status="VALID"> <orgName>EFS</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle><tutelle name="U1031" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"> <idno type="IdRef">026388278</idno> <orgName>Institut National de la Santé et de la Recherche Médicale</orgName> <orgName type="acronym">INSERM</orgName> <desc> <address> <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.inserm.fr</ref> </desc></org></tutelle><tutelle name="UMR5273" active="#struct-441569" type="direct"><org type="institution" xml:id="struct-441569" status="VALID"> <idno type="ISNI">0000000122597504</idno> <idno type="IdRef">02636817X</idno> <orgName>Centre National de la Recherche Scientifique</orgName> <orgName type="acronym">CNRS</orgName> <date type="start">1939-10-19</date> <desc> <address> <country key="FR"></country> </address> <ref type="url">http://www.cnrs.fr/</ref> </desc></org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Sulpice, Laurent" sort="Sulpice, Laurent" uniqKey="Sulpice L" first="Laurent" last="Sulpice">Laurent Sulpice</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-105755" status="INCOMING"> <orgName>Service de Chirurgie Hépatobiliaire et Digestive</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-105160" type="direct"></relation> <relation active="#struct-300129" type="direct"></relation> <relation active="#struct-301327" type="direct"></relation> </listRelation><tutelles><tutelle active="#struct-105160" type="direct"><org type="institution" xml:id="struct-105160" status="VALID"> <orgName>Université de Rennes 1</orgName> <orgName type="acronym">UR1</orgName> <desc> <address> <addrLine>2 rue du Thabor - CS 46510 - 35065 Rennes cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-rennes1.fr/</ref> </desc></org></tutelle><tutelle active="#struct-300129" type="direct"><org type="institution" xml:id="struct-300129" status="VALID"> <orgName>Hôpital Pontchaillou</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle><tutelle active="#struct-301327" type="direct"><org type="institution" xml:id="struct-301327" status="VALID"> <orgName>CHU Pontchaillou [Rennes]</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-rennes.fr/</ref> </desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Rennes</settlement><region type="region" nuts="2">Région Bretagne</region></placeName><orgName type="university">Université de Rennes 1</orgName><orgName type="institution" wicri:auto="newGroup">Université européenne de Bretagne</orgName></affiliation></author><author><name sortKey="Levi Sandri, Giovanni Battista" sort="Levi Sandri, Giovanni Battista" uniqKey="Levi Sandri G" first="Giovanni Battista" last="Levi Sandri">Giovanni Battista Levi Sandri</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-105755" status="INCOMING"> <orgName>Service de Chirurgie Hépatobiliaire et Digestive</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-105160" type="direct"></relation> <relation active="#struct-300129" type="direct"></relation> <relation active="#struct-301327" type="direct"></relation> </listRelation><tutelles><tutelle active="#struct-105160" type="direct"><org type="institution" xml:id="struct-105160" status="VALID"> <orgName>Université de Rennes 1</orgName> <orgName type="acronym">UR1</orgName> <desc> <address> <addrLine>2 rue du Thabor - CS 46510 - 35065 Rennes cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-rennes1.fr/</ref> </desc></org></tutelle><tutelle active="#struct-300129" type="direct"><org type="institution" xml:id="struct-300129" status="VALID"> <orgName>Hôpital Pontchaillou</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle><tutelle active="#struct-301327" type="direct"><org type="institution" xml:id="struct-301327" status="VALID"> <orgName>CHU Pontchaillou [Rennes]</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-rennes.fr/</ref> </desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Rennes</settlement><region type="region" nuts="2">Région Bretagne</region></placeName><orgName type="university">Université de Rennes 1</orgName><orgName type="institution" wicri:auto="newGroup">Université européenne de Bretagne</orgName></affiliation></author><author><name sortKey="Lavoue, Vincent" sort="Lavoue, Vincent" uniqKey="Lavoue V" first="Vincent" last="Lavoué">Vincent Lavoué</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-85948" status="INCOMING"> <orgName>Pôle de gynécologie, obstétrique et médecine de la reproduction[Rennes]</orgName> <desc> <address> <addrLine>16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 2</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-301327" type="direct"></relation> <relation active="#struct-325076" type="direct"></relation> </listRelation><tutelles><tutelle active="#struct-301327" type="direct"><org type="institution" xml:id="struct-301327" status="VALID"> <orgName>CHU Pontchaillou [Rennes]</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-rennes.fr/</ref> </desc></org></tutelle><tutelle active="#struct-325076" type="direct"><org type="institution" xml:id="struct-325076" status="INCOMING"> <orgName>Hôpital Anne-de-Bretagne</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Watier, Eric" sort="Watier, Eric" uniqKey="Watier E" first="Eric" last="Watier">Eric Watier</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-117349" status="INCOMING"> <orgName>Service de Chirurgie Plastique</orgName> <desc> <address> <addrLine>Hôpital Pontchaillou Rennes</addrLine> <country key="FR"></country> </address> </desc></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Meunier, Bernard" sort="Meunier, Bernard" uniqKey="Meunier B" first="Bernard" last="Meunier">Bernard Meunier</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-105755" status="INCOMING"> <orgName>Service de Chirurgie Hépatobiliaire et Digestive</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-105160" type="direct"></relation> <relation active="#struct-300129" type="direct"></relation> <relation active="#struct-301327" type="direct"></relation> </listRelation><tutelles><tutelle active="#struct-105160" type="direct"><org type="institution" xml:id="struct-105160" status="VALID"> <orgName>Université de Rennes 1</orgName> <orgName type="acronym">UR1</orgName> <desc> <address> <addrLine>2 rue du Thabor - CS 46510 - 35065 Rennes cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-rennes1.fr/</ref> </desc></org></tutelle><tutelle active="#struct-300129" type="direct"><org type="institution" xml:id="struct-300129" status="VALID"> <orgName>Hôpital Pontchaillou</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle><tutelle active="#struct-301327" type="direct"><org type="institution" xml:id="struct-301327" status="VALID"> <orgName>CHU Pontchaillou [Rennes]</orgName> <desc> <address> <addrLine>2 Rue Henri le Guilloux, 35000 Rennes</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-rennes.fr/</ref> </desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Rennes</settlement><region type="region" nuts="2">Région Bretagne</region></placeName><orgName type="university">Université de Rennes 1</orgName><orgName type="institution" wicri:auto="newGroup">Université européenne de Bretagne</orgName></affiliation></author></analytic><idno type="DOI">10.1016/j.ejso.2014.10.062</idno><series><title level="j">EJSO - European Journal of Surgical Oncology</title><idno type="ISSN">0748-7983</idno><imprint><date type="datePub">2014-12-09</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="mix" xml:lang="en"><term>Inguinal lymphadenectomy</term><term>Lymphoedema</term><term>Stage III melanoma</term><term>Surgery</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Introduction: When sentinel lymph node is positive for metastasis (exclusion for micro-metastasis) and in cases of palpable adenopathy, a lymphadenectomy should be performed. Many incisional surgical approach have been described in literature. We perform two type of incision (vertical with skin excision and transversal) for inguinal lymphadenectomy. The aim of this study was to compare post-operative morbidity between these two approach in cases of Stage III Melanoma. We analyzed chronic lymphoedeme, skin necrosis, wound dehiscence, wound infection and seroma rates between the two techniques.-three patients underwent to inguinal lymphadenectomy for Stage III melanoma at CHU of Rennes. Patients were stratified in 2 groups according to the surgical approach, group 1 with a vertical incision with skin excision and group 2 with a transverse incision. Results: Chronic lymphedema rate for group 1 was 37.04% and for group 2 rate was 26.92%, this complication was lower un group 2 but no significant difference was observed (p=0.558). Skin necrosis (p=0.235), wound dehiscence (p=1.000), wound infection (p=0.236) and seroma (p=0.757) were not significantly different. Two cases of skin necrosis were observed in group 2 (7.69%) and none in group 1. Conclusion: We do not found significant difference for chronic lymphedema between these two approach. However, we had less lymphedema with the transversal technique which has the advantage to reduce the skin suffering when external iliac lymphadenectomy dissection is necessary in addition to the inguinal lymphadenectomy.</div></front></TEI></HAL><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Inguinal lymphadenectomy for stage III melanoma: a comparative study of two surgical approaches at the onset of lymphoedema.</title><author><name sortKey="Bertheuil, N" sort="Bertheuil, N" uniqKey="Bertheuil N" first="N" last="Bertheuil">N. Bertheuil</name><affiliation wicri:level="3"><nlm:affiliation>Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200 Rennes, France; SITI Laboratory, Etablissement Français du Sang Bretagne, Rennes University Hospital, Rennes, France; STROMAlab, UMR5273 CNRS/UPS/EFS - INSERM U1031, Rangueil Hospital, Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200 Rennes, France; SITI Laboratory, Etablissement Français du Sang Bretagne, Rennes University Hospital, Rennes, France; STROMAlab, UMR5273 CNRS/UPS/EFS - INSERM U1031, Rangueil Hospital, Toulouse</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="Sulpice, L" sort="Sulpice, L" uniqKey="Sulpice L" first="L" last="Sulpice">L. Sulpice</name><affiliation wicri:level="3"><nlm:affiliation>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author><author><name sortKey="Levi Sandri, G B" sort="Levi Sandri, G B" uniqKey="Levi Sandri G" first="G B" last="Levi Sandri">G B Levi Sandri</name><affiliation wicri:level="3"><nlm:affiliation>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes, France. Electronic address: gblevisandri@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author><author><name sortKey="Lavoue, V" sort="Lavoue, V" uniqKey="Lavoue V" first="V" last="Lavoué">V. Lavoué</name><affiliation wicri:level="3"><nlm:affiliation>Department of Gynecology, CHU Anne de Bretagne, Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Gynecology, CHU Anne de Bretagne, Rennes</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author><author><name sortKey="Watier, E" sort="Watier, E" uniqKey="Watier E" first="E" last="Watier">E. Watier</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200 Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200 Rennes</wicri:regionArea><wicri:noRegion>35200 Rennes</wicri:noRegion><wicri:noRegion>35200 Rennes</wicri:noRegion></affiliation></author><author><name sortKey="Meunier, B" sort="Meunier, B" uniqKey="Meunier B" first="B" last="Meunier">B. Meunier</name><affiliation wicri:level="3"><nlm:affiliation>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25524886</idno><idno type="pmid">25524886</idno><idno type="doi">10.1016/j.ejso.2014.10.062</idno><idno type="wicri:Area/PubMed/Corpus">001128</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001128</idno><idno type="wicri:Area/PubMed/Curation">001128</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001128</idno><idno type="wicri:Area/PubMed/Checkpoint">001128</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001128</idno><idno type="wicri:Area/Ncbi/Merge">006E71</idno><idno type="wicri:Area/Ncbi/Curation">006E71</idno><idno type="wicri:Area/Ncbi/Checkpoint">006E71</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Inguinal lymphadenectomy for stage III melanoma: a comparative study of two surgical approaches at the onset of lymphoedema.</title><author><name sortKey="Bertheuil, N" sort="Bertheuil, N" uniqKey="Bertheuil N" first="N" last="Bertheuil">N. Bertheuil</name><affiliation wicri:level="3"><nlm:affiliation>Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200 Rennes, France; SITI Laboratory, Etablissement Français du Sang Bretagne, Rennes University Hospital, Rennes, France; STROMAlab, UMR5273 CNRS/UPS/EFS - INSERM U1031, Rangueil Hospital, Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200 Rennes, France; SITI Laboratory, Etablissement Français du Sang Bretagne, Rennes University Hospital, Rennes, France; STROMAlab, UMR5273 CNRS/UPS/EFS - INSERM U1031, Rangueil Hospital, Toulouse</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="Sulpice, L" sort="Sulpice, L" uniqKey="Sulpice L" first="L" last="Sulpice">L. Sulpice</name><affiliation wicri:level="3"><nlm:affiliation>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author><author><name sortKey="Levi Sandri, G B" sort="Levi Sandri, G B" uniqKey="Levi Sandri G" first="G B" last="Levi Sandri">G B Levi Sandri</name><affiliation wicri:level="3"><nlm:affiliation>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes, France. Electronic address: gblevisandri@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author><author><name sortKey="Lavoue, V" sort="Lavoue, V" uniqKey="Lavoue V" first="V" last="Lavoué">V. Lavoué</name><affiliation wicri:level="3"><nlm:affiliation>Department of Gynecology, CHU Anne de Bretagne, Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Gynecology, CHU Anne de Bretagne, Rennes</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author><author><name sortKey="Watier, E" sort="Watier, E" uniqKey="Watier E" first="E" last="Watier">E. Watier</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200 Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200 Rennes</wicri:regionArea><wicri:noRegion>35200 Rennes</wicri:noRegion><wicri:noRegion>35200 Rennes</wicri:noRegion></affiliation></author><author><name sortKey="Meunier, B" sort="Meunier, B" uniqKey="Meunier B" first="B" last="Meunier">B. Meunier</name><affiliation wicri:level="3"><nlm:affiliation>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Université de Rennes 1, Rennes</wicri:regionArea><placeName><region type="region">Région Bretagne</region><region type="old region">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author></analytic><series><title level="j">European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</title><idno type="eISSN">1532-2157</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Inguinal Canal</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Node Excision (methods)</term><term>Lymphatic Metastasis</term><term>Lymphedema (etiology)</term><term>Male</term><term>Melanoma (secondary)</term><term>Melanoma (surgery)</term><term>Middle Aged</term><term>Necrosis (etiology)</term><term>Neoplasm Staging</term><term>Seroma (etiology)</term><term>Skin (pathology)</term><term>Skin Neoplasms (pathology)</term><term>Skin Neoplasms (surgery)</term><term>Surgical Wound Dehiscence (etiology)</term><term>Surgical Wound Infection (etiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Canal inguinal</term><term>Femelle</term><term>Humains</term><term>Infection de plaie opératoire (étiologie)</term><term>Lymphadénectomie ()</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (étiologie)</term><term>Lâchage de suture (étiologie)</term><term>Maladie chronique</term><term>Mâle</term><term>Mélanome ()</term><term>Mélanome (secondaire)</term><term>Métastase lymphatique</term><term>Nécrose (étiologie)</term><term>Peau (anatomopathologie)</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sérome (étiologie)</term><term>Tumeurs cutanées ()</term><term>Tumeurs cutanées (anatomopathologie)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Peau</term><term>Tumeurs cutanées</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Necrosis</term><term>Seroma</term><term>Surgical Wound Dehiscence</term><term>Surgical Wound Infection</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Skin</term><term>Skin Neoplasms</term></keywords><keywords scheme="MESH" qualifier="secondaire" xml:lang="fr"><term>Mélanome</term></keywords><keywords scheme="MESH" qualifier="secondary" xml:lang="en"><term>Melanoma</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Melanoma</term><term>Skin Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Infection de plaie opératoire</term><term>Lymphoedème</term><term>Lâchage de suture</term><term>Nécrose</term><term>Sérome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Inguinal Canal</term><term>Lymphatic Metastasis</term><term>Male</term><term>Middle Aged</term><term>Neoplasm Staging</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Canal inguinal</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Maladie chronique</term><term>Mâle</term><term>Mélanome</term><term>Métastase lymphatique</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Tumeurs cutanées</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">When sentinel lymph node is positive for metastasis (exclusion for micro-metastasis) and in cases of palpable adenopathy, a lymphadenectomy should be performed. Many incisional surgical approach have been described in literature. We perform two type of incision (vertical with skin excision and transversal) for inguinal lymphadenectomy. The aim of this study was to compare post-operative morbidity between these two approach in cases of Stage III Melanoma. We analysed chronic lymphoedeme, skin necrosis, wound dehiscence, wound infection and seroma rates between the two techniques.</div></front></TEI></PubMed></double></record>Pour manipuler ce document sous Unix (Dilib)
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