Impact of the Ultrasonic scalpel on the amount of drained lymph after axillary or inguinal lymphadenectomy.
Fiche du document
21 mars 2017
- doi: 10.1186/s12893-017-0222-1
- issn: 1471-2482
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.1186/s12893-017-0222-1
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pmid/28327108
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/eissn/1471-2482
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_8D2F4BB74B5E6
info:eu-repo/semantics/openAccess , CC BY 4.0 , https://creativecommons.org/licenses/by/4.0/
Sujets proches
Lymphatic system Inguen Regio inguinales Inguinal region Sickness Human beings--Diseases Morbidity Illness Sicknesses Illnesses Arm pit Armpit Fossa axillaris Older persons Older adults Seniors (Older people) Elderly people Old people Senior citizens Aging people Aged Use ofCiter ce document
O. Gié et al., « Impact of the Ultrasonic scalpel on the amount of drained lymph after axillary or inguinal lymphadenectomy. », Serveur académique Lausannois, ID : 10.1186/s12893-017-0222-1
Métriques
Partage / Export
Résumé
Seroma formation and lymphoedema are frequently encountered complications after radical lymph node dissection (RLND). Attempts to reduce the lymphatic morbidity include the use of Ultrasonic Scalpel. The aim of the present analysis was to assess the impact of the ultrasonic scalpel on the amount of drained lymph after lymph node dissection. Patients listed for a RLND or completion lymph node dissection (CLND) were enrolled in a prospective randomized trial to compare the impact of two surgical dissection techniques (USS versus control) on the amount of drained lymph. The lymph drained in 24 h was collected. Our primary endpoint was to compare the daily amount of drained lymph between the two groups. Secondary endpoints were the comparison of drained lymph with the BMI of the patients, the gender and the surgical site (axilla, groin). Eighty patients were randomly assigned to the USS group or the Control (C) group. No difference was measured in the total amount of lymph drained (USS: 2908 ± 2453 ml vs. C: 3898 ± 5791 ml; p-value = 0.382). The result was also similar after adjusting for gender, age, and BMI. A significant higher amount of lymph was measured after inguinal dissection with USS compared to axillary (p