Sclerotherapy of Pelvic Lymphocele with Povidone-iodine and Ethanol.
10.3348/jkrs.1999.41.1.147
- Author:
Hyun Beom KIM
1
;
Seung Hyup KIM
;
Young Jun KIM
;
In Hee LEE
;
Chang Kyu SEONG
Author Information
1. Department of Radiology, Seoul National University College of Medicine and the Institute of Radiation Medicine, SNUMRC, Korea.
- Publication Type:Original Article
- Keywords:
Lymphocele;
Catheters and catheterization
- MeSH:
Catheters;
Drainage;
Ethanol*;
Female;
Follow-Up Studies;
Humans;
Lymphocele*;
Povidone-Iodine*;
Recurrence;
Sclerotherapy*
- From:Journal of the Korean Radiological Society
1999;41(1):147-152
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the efficacy of percutaneous transcatheter sclerotherapy using povidone-iodine andethanol for the treatment of postoperative pelvic lymphoceles MATERIALS AND METHODS: Between January 1995 andApril 1998, 22 lymphoceles in 21 women who had under-gone pelvic surgery were subjected to percutaneoustranscatheter sclerotherapy using povidone-iodine and ethanol. Biochemical and cytological examination revealedthat 16 lymphoceles were sterile and six were in-fected. The diameter of lymphoceles varied between 3 and 20(average; 7.9 cm) and the initial volume of drainage ranged from 10ml to 1200ml. When the amount of drainagedecreased to less than 5 -10 ml/day and when the lymphocele was collapsed on follow-up sinography, the catheterwas removed. By means of sonog-raphy, all patients were followed up. The duration of this ranged from 1 month to 3years 4 months (average, 18 months). RESULTS: After percutaneous transcatheter sclerotherapy, 21 of 22lymphoceles were seen to have collapsed. Three lymphoceles recurred during the follow-up period. Eventually 18 of22 lymphoceles (82 %) were suc-cessfully treated, without recurrence. The duration of catheter drainage rangedfrom 3 to 15 (average, 8.6) days. CONCLUSION: Because of its high initial success rate, low rate of recurrence,and the short duration of catheter drainage, percutaneous transcatheter sclerotherapy using povidone-iodine andethanol is thought to be an ef-fective treatment for postoperative pelvic lymphoceles.
