The contribution of a collagen-fibrin patch (Tachosil) to prevent the postoperative lymphatic complications after groin lymphadenectomy: a double institution observational study.
Identifieur interne : 007D46 ( Ncbi/Merge ); précédent : 007D45; suivant : 007D47The contribution of a collagen-fibrin patch (Tachosil) to prevent the postoperative lymphatic complications after groin lymphadenectomy: a double institution observational study.
Auteurs : Alessandro Buda [Italie] ; Alessandro Ghelardi [Italie] ; Robert Fruscio [Italie] ; Fernando Guelfi [Italie] ; Maria La Manna [Italie] ; Federica Dell'Orto [Italie] ; Rodolfo Milani [Italie]Source :
- European journal of obstetrics, gynecology, and reproductive biology [ 1872-7654 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Aine, Association médicamenteuse, Cellulite sous-cutanée (), Complications postopératoires (), Femelle, Fibrinogène (usage thérapeutique), Humains, Infection de plaie opératoire (), Lymphadénectomie, Lymphocèle (), Lymphoedème (), Lâchage de suture (), Sujet âgé, Sujet âgé de 80 ans ou plus, Thrombine (usage thérapeutique), Tumeurs de l'ovaire (), Tumeurs de la vulve (), Étude contrôle historique, Études prospectives.
- MESH :
- usage thérapeutique : Fibrinogène, Thrombine.
- Adulte d'âge moyen, Aine, Association médicamenteuse, Cellulite sous-cutanée, Complications postopératoires, Femelle, Humains, Infection de plaie opératoire, Lymphadénectomie, Lymphocèle, Lymphoedème, Lâchage de suture, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'ovaire, Tumeurs de la vulve, Étude contrôle historique, Études prospectives.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Cellulitis (prevention & control), Drug Combinations, Female, Fibrinogen (therapeutic use), Groin, Historically Controlled Study, Humans, Lymph Node Excision, Lymphedema (prevention & control), Lymphocele (prevention & control), Middle Aged, Ovarian Neoplasms (surgery), Postoperative Complications (prevention & control), Prospective Studies, Surgical Wound Dehiscence (prevention & control), Surgical Wound Infection (prevention & control), Thrombin (therapeutic use), Vulvar Neoplasms (surgery).
- MESH :
- chemical , therapeutic use : Fibrinogen, Thrombin.
- chemical : Drug Combinations.
- prevention & control : Cellulitis, Lymphedema, Lymphocele, Postoperative Complications, Surgical Wound Dehiscence, Surgical Wound Infection.
- surgery : Ovarian Neoplasms, Vulvar Neoplasms.
- Aged, Aged, 80 and over, Female, Groin, Historically Controlled Study, Humans, Lymph Node Excision, Middle Aged, Prospective Studies.
Abstract
Postoperative morbidity associated with groin lymphadenectomy remain high and still represents a major concern for this patients. The aim of this study was to confirm the efficacy of TachoSil(®) in preventing postoperative complications after inguinofemoral lymphadenectomy for gynecological malignancy.
DOI: 10.1016/j.ejogrb.2015.12.005
PubMed: 26765122
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University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy. Electronic address: ginoncmonza@gmail.com.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; University of Milano-Bicocca, San Gerardo Hospital, Monza</wicri:regionArea><wicri:noRegion>Monza</wicri:noRegion></affiliation></author><author><name sortKey="Ghelardi, Alessandro" sort="Ghelardi, Alessandro" uniqKey="Ghelardi A" first="Alessandro" last="Ghelardi">Alessandro Ghelardi</name><affiliation wicri:level="1"><nlm:affiliation>Obstetrics and Gynecology Unit, Division of Gynecologic Oncology, Usl 1 of Massa and Carrara, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Obstetrics and Gynecology Unit, Division of Gynecologic Oncology, Usl 1 of Massa and Carrara</wicri:regionArea><wicri:noRegion>Usl 1 of Massa and Carrara</wicri:noRegion></affiliation></author><author><name sortKey="Fruscio, Robert" sort="Fruscio, Robert" uniqKey="Fruscio R" first="Robert" last="Fruscio">Robert Fruscio</name><affiliation wicri:level="1"><nlm:affiliation>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; 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University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; University of Milano-Bicocca, San Gerardo Hospital, Monza</wicri:regionArea><wicri:noRegion>Monza</wicri:noRegion></affiliation></author><author><name sortKey="Dell Orto, Federica" sort="Dell Orto, Federica" uniqKey="Dell Orto F" first="Federica" last="Dell'Orto">Federica Dell'Orto</name><affiliation wicri:level="1"><nlm:affiliation>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; University of Milano-Bicocca, San Gerardo Hospital, Monza</wicri:regionArea><wicri:noRegion>Monza</wicri:noRegion></affiliation></author><author><name sortKey="Milani, Rodolfo" sort="Milani, Rodolfo" uniqKey="Milani R" first="Rodolfo" last="Milani">Rodolfo Milani</name><affiliation wicri:level="1"><nlm:affiliation>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; University of Milano-Bicocca, San Gerardo Hospital, Monza</wicri:regionArea><wicri:noRegion>Monza</wicri:noRegion></affiliation></author></analytic><series><title level="j">European journal of obstetrics, gynecology, and reproductive biology</title><idno type="eISSN">1872-7654</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cellulitis (prevention & control)</term><term>Drug Combinations</term><term>Female</term><term>Fibrinogen (therapeutic use)</term><term>Groin</term><term>Historically Controlled Study</term><term>Humans</term><term>Lymph Node Excision</term><term>Lymphedema (prevention & control)</term><term>Lymphocele (prevention & control)</term><term>Middle Aged</term><term>Ovarian Neoplasms (surgery)</term><term>Postoperative Complications (prevention & control)</term><term>Prospective Studies</term><term>Surgical Wound Dehiscence (prevention & control)</term><term>Surgical Wound Infection (prevention & control)</term><term>Thrombin (therapeutic use)</term><term>Vulvar Neoplasms (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aine</term><term>Association médicamenteuse</term><term>Cellulite sous-cutanée ()</term><term>Complications postopératoires ()</term><term>Femelle</term><term>Fibrinogène (usage thérapeutique)</term><term>Humains</term><term>Infection de plaie opératoire ()</term><term>Lymphadénectomie</term><term>Lymphocèle ()</term><term>Lymphoedème ()</term><term>Lâchage de suture ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Thrombine (usage thérapeutique)</term><term>Tumeurs de l'ovaire ()</term><term>Tumeurs de la vulve ()</term><term>Étude contrôle historique</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Fibrinogen</term><term>Thrombin</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Drug Combinations</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cellulitis</term><term>Lymphedema</term><term>Lymphocele</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>Ovarian Neoplasms</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Fibrinogène</term><term>Thrombine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Groin</term><term>Historically Controlled Study</term><term>Humans</term><term>Lymph Node Excision</term><term>Middle Aged</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aine</term><term>Association médicamenteuse</term><term>Cellulite sous-cutanée</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Infection de plaie opératoire</term><term>Lymphadénectomie</term><term>Lymphocèle</term><term>Lymphoedème</term><term>Lâchage de suture</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'ovaire</term><term>Tumeurs de la vulve</term><term>Étude contrôle historique</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Postoperative morbidity associated with groin lymphadenectomy remain high and still represents a major concern for this patients. The aim of this study was to confirm the efficacy of TachoSil(®) in preventing postoperative complications after inguinofemoral lymphadenectomy for gynecological malignancy.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26765122</PMID><DateCreated><Year>2016</Year><Month>02</Month><Day>07</Day></DateCreated><DateCompleted><Year>2016</Year><Month>11</Month><Day>02</Day></DateCompleted><DateRevised><Year>2016</Year><Month>12</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1872-7654</ISSN><JournalIssue CitedMedium="Internet"><Volume>197</Volume><PubDate><Year>2016</Year><Month>Feb</Month></PubDate></JournalIssue><Title>European journal of obstetrics, gynecology, and reproductive biology</Title><ISOAbbreviation>Eur. J. Obstet. Gynecol. Reprod. Biol.</ISOAbbreviation></Journal><ArticleTitle>The contribution of a collagen-fibrin patch (Tachosil) to prevent the postoperative lymphatic complications after groin lymphadenectomy: a double institution observational study.</ArticleTitle><Pagination><MedlinePgn>156-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ejogrb.2015.12.005</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0301-2115(15)00449-2</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Postoperative morbidity associated with groin lymphadenectomy remain high and still represents a major concern for this patients. The aim of this study was to confirm the efficacy of TachoSil(®) in preventing postoperative complications after inguinofemoral lymphadenectomy for gynecological malignancy.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">An observational study was conducted to evaluate the incidence of postoperative complications among 49 patients (TachoSil(®) group=24; control group=25) underwent groin dissection enrolled in two Italian Department of Gynecology Oncology from 2011 to 2014.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 74 inguinal dissections were performed. Bilateral groin dissection was performed in 25 patients (Tachosil group=10; group 2=15). Patients in TachoSil(®) group showed a lower daily drainage volume with a mean volume of 84 ml (range 30-465) vs. 143 ml (range -72 to 413) in the control group (p=.004), and a lower total drainage volume with a mean of 540 ml (range 90-930) vs. 900 ml (range 200-3270) for Tachosil and control group, respectively. A lower incidence of lymphocyst required drainage, cellulitis, wound infection and late lymphedema was observed in TachoSil group even without reaching statistical significance.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This observational study confirmed that the use of TachoSil(®) seems to be highly effective in reducing the rate of postoperative lymphorrea and postoperative complications after groin dissection in case of gynecological malignancies. Larger multicenter prospective study is advisable to validate our preliminary results.</AbstractText><CopyrightInformation>Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Buda</LastName><ForeName>Alessandro</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy. Electronic address: ginoncmonza@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ghelardi</LastName><ForeName>Alessandro</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Obstetrics and Gynecology Unit, Division of Gynecologic Oncology, Usl 1 of Massa and Carrara, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fruscio</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guelfi</LastName><ForeName>Fernando</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Obstetrics and Gynecology Unit, Division of Gynecologic Oncology, Usl 1 of Massa and Carrara, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>La Manna</LastName><ForeName>Maria</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dell'Orto</LastName><ForeName>Federica</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Milani</LastName><ForeName>Rodolfo</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, Italy; University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>12</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Eur J Obstet Gynecol Reprod Biol</MedlineTA><NlmUniqueID>0375672</NlmUniqueID><ISSNLinking>0301-2115</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D004338">Drug Combinations</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="C518955">TachoSil</NameOfSubstance></Chemical><Chemical><RegistryNumber>9001-32-5</RegistryNumber><NameOfSubstance UI="D005340">Fibrinogen</NameOfSubstance></Chemical><Chemical><RegistryNumber>EC 3.4.21.5</RegistryNumber><NameOfSubstance UI="D013917">Thrombin</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002481" MajorTopicYN="N">Cellulitis</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004338" MajorTopicYN="N">Drug Combinations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005340" MajorTopicYN="N">Fibrinogen</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006119" MajorTopicYN="N">Groin</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065386" MajorTopicYN="N">Historically Controlled Study</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="Y">Lymph Node Excision</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008210" MajorTopicYN="N">Lymphocele</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010051" MajorTopicYN="N">Ovarian Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013529" MajorTopicYN="N">Surgical Wound Dehiscence</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013530" MajorTopicYN="N">Surgical Wound Infection</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013917" MajorTopicYN="N">Thrombin</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014846" MajorTopicYN="N">Vulvar Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Collagen patch</Keyword><Keyword MajorTopicYN="N">Groin lymphadenectomy</Keyword><Keyword MajorTopicYN="N">Lymphorrea prevention</Keyword><Keyword MajorTopicYN="N">Sealant activity</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>09</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>12</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>1</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>1</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>11</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26765122</ArticleId><ArticleId IdType="pii">S0301-2115(15)00449-2</ArticleId><ArticleId IdType="doi">10.1016/j.ejogrb.2015.12.005</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Buda, Alessandro" sort="Buda, Alessandro" uniqKey="Buda A" first="Alessandro" last="Buda">Alessandro Buda</name></noRegion><name sortKey="Dell Orto, Federica" sort="Dell Orto, Federica" uniqKey="Dell Orto F" first="Federica" last="Dell'Orto">Federica Dell'Orto</name><name sortKey="Fruscio, Robert" sort="Fruscio, Robert" uniqKey="Fruscio R" first="Robert" last="Fruscio">Robert Fruscio</name><name sortKey="Ghelardi, Alessandro" sort="Ghelardi, Alessandro" uniqKey="Ghelardi A" first="Alessandro" last="Ghelardi">Alessandro Ghelardi</name><name sortKey="Guelfi, Fernando" sort="Guelfi, Fernando" uniqKey="Guelfi F" first="Fernando" last="Guelfi">Fernando Guelfi</name><name sortKey="La Manna, Maria" sort="La Manna, Maria" uniqKey="La Manna M" first="Maria" last="La Manna">Maria La Manna</name><name sortKey="Milani, Rodolfo" sort="Milani, Rodolfo" uniqKey="Milani R" first="Rodolfo" last="Milani">Rodolfo Milani</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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