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Taiwan J Obstet Gynecol. 2017 Aug;56(4):477-481. doi: 10.1016/j.tjog.2016.10.002.

Evaluation of sclerotherapy for the treatment of infected postoperative lymphocele.

Author information

1
Department of Radiology, CHA University School of Medicine, CHA Bundang Medical Center, 59 Yatap-ro, Bundang-gu, Seongnam, Republic of Korea.
2
Department of Radiology, CHA University School of Medicine, CHA Bundang Medical Center, 59 Yatap-ro, Bundang-gu, Seongnam, Republic of Korea. Electronic address: hae0820@naver.com.
3
Department of Radiology and Medical Research Institute, Ewha Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul, Republic of Korea. Electronic address: medmath@hanmail.net.
4
Department of Radiology, Research Institute of Radiological Science, Yonsei University College of Medicine, 134 Sinchon-dong, Seodaemun-gu, Seoul, Republic of Korea.

Abstract

OBJECTIVE:

To evaluate the efficacy and safety of sclerotherapy as the treatment of infected postoperative lymphocele in gynecologic malignancy patients.

MATERIALS AND METHODS:

Percutaneous catheter drainage (PCD) with or without sclerotherapy was performed for postoperative lymphocele in 75 patients from 2002 to 2014. Eighty-eight lymphoceles (43 non-infected as group A, 45 infected as group B) in 75 patients (mean age ± SD; 50.3 ± 11.3) were included. Sclerotherapy was performed in 17 (39.5%, group A-S) lymphoceles in group A and 14 (31.1%, group B-S) in group B. Absolute ethanol was the most frequently used sclerosant (28 of total 36 sessions). Mean follow-up period was 37 months (range: 1-154).

RESULTS:

Sclerotherapy was clinically successful in 13 lymphoceles in both group A-S (76.5%) and group B-S (92.9%) without statistical significance. Compared to the pre-sclerotherapy period, group B-S demonstrated significantly decreased drainage volume after sclerotherapy (662.7 ml vs. 100.6 ml, p = 0.019). Group A-S failed to demonstrate significant decrease in drainage volume after sclerotherapy. Recurrence occurred in 4 patients in group A-S and 1 in group B-S, without statistical significance. No major complication was noted.

CONCLUSION:

Sclerotherapy significantly reduces the drainage volume, and might help shorten catheter placement time in infected lymphoceles.

KEYWORDS:

Catheterization; Infection; Lymphocele; Sclerotherapy

PMID:
28805604
DOI:
10.1016/j.tjog.2016.10.002
[Indexed for MEDLINE]
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