Effectiveness of semi-open suturation of vaginal stump in prevent the development of pelvic lymphocele after pelvic lymphadenectomy

Pei-yao Wang; Dan-ye Zhang; Juan-juan Liu; Yue QI; Lian-cheng Zhu; Fang Ren; Hui-min Wang; Bei Lin

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Effectiveness of semi-open suturation of vaginal stump in prevent the development of pelvic lymphocele after pelvic lymphadenectomy

Author: Pei-yao WANG ¹ ; Dan-ye ZHANG ¹ ; Juan-juan LIU ¹ ; Yue QI ¹ ; Lian-cheng ZHU ¹ ; Fang REN ¹ ; Hui-min WANG ¹ ; Bei LIN ¹
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1. Department of Obstetrics and Gynecology,Shenjing Hospital Affiliated to China Medical University Liaoning,Shenyang 110004,China
Publication Type:Journal Article
Keywords: semi-open saturation of vaginal stump; gynecologic malignancy; pelvic lymphocele; prevention
From: Chinese Journal of Practical Gynecology and Obstetrics 2019;35(01):107-113
CountryChina
Language:Chinese
Abstract: OBJECTIVE: To evaluate the effectiveness of semi-open suturation of vaginal stump in preventing pelvic lym-phocele after pelvic lymphadenectomy during gynecologic cancer surgery.METHODS:This study is a retrospectivestudy.Totally 348 patients with cervic cancer or endometrial cancer who underwent pelvic lymphadenectomy and/or para-aortic lymphadenectomy from January 2012 to September 2018 were divided into two groups according to the suturationof vaginal stump:102 patients were in the semi-open group and 246 patients were in the closed group.The two groupswere compared concerning the surgery time,harvested lymph node,drainage time,albumin level,hemoglobin content,and the incidence of lymphocele and symptomatic lymphocele.RESULTS:There were no differences between two groupswith respect to surgery time,harvested lymph node,drainage time,albumin level or hemoglobin content(P>0.05).Theincidence of lymphocele and symptomatic lyphocele in semi-open group was significantly lower than that in closed group(35.3%versus79.3%,3.9%versus19.5%,P<0.05);the average diameter of lymphocele in semi-open group was also sig-nificantly lower than that in closed group(4.1cm versus 5.9cm,P<0.05).CONCLUSION:The result of this study indicatesthat the application of semi-open saturation of vaginal stump is an effective way to reduce the incidence of pelvic lym-phocele after gynecologic malignancy,which is simple and with reliable effect.It doesn′t increase the incidence of postop-eration complications and deserves clinical application.