Intranodal embolization for lymphocele after revascularization procedure in the groin
Authors:
D. Janák 1; R. Pavlík 2; T. Meliš 2; Š. Černý 1
Authors‘ workplace:
Klinika kardiovaskulární chirurgie 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha, Česká, republika
1; Klinika zobrazovacích metod 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha, Česká, republika
2
Published in:
Rozhl. Chir., 2024, roč. 103, č. 6, s. 228-231.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2024.103.6.228–231
Overview
Early postoperative wound complications in revascularization procedures in the groin very often include complications associated with injury to the lymphatic system such as lymphocele and lymphorrhea with subsequent local infectious complications and the risk of infection of prosthetic grafts. We present a case report of successful treatment of postoperative lymphocele with subsequent lymphatic fistula and dehiscence of the surgical wound by intranodal embolization of the injured lymph node with Histoacryl tissue glue.
Keywords:
embolization – lymphography – lymphocele
Sources
- Antonios VS, Noel AA, Steckelberg JM, et al. Prosthetic vascular graft infection: a risk factor analysis using a case-control study. J Infect. 2006 Jul;53(1):49–55. doi:10.1016/j.jinf.2005.10.004. Epub 2005 Nov 28.
- Ploeg AJ, Lardenoye JW, Peeters MP, et al. Wound complications at the groin after peripheral arterial surgery sparing the lymphatic tissue: a double-blind randomized clinical trial. Am J Surg. 2009 Jun;197(6):747–751. doi:10.1016/j.amjsurg. 2008.04.014. Epub 2008 Oct 17.
- Caiati JM, Kaplan D, Gitlitz D, et al. The value of the oblique groin incision for femoral artery access during endovascular procedures. Ann Vasc Surg. 2000 May;14(3):248–253. doi:10.1007/ s100169910042.
- Lee ES, Santilli SM, Olson MM, et al. Wound infection after infrainguinal bypass operations: multivariate analysis of putative risk factors. Surg Infect. (Larchmt) 2000 Winter;1(4):257–263. doi:10.1 089/109629600750067183.
- Smolock AR, Nadolski G, Itkin M. Intranodal glue embolization for the management of postsurgical groin lymphocele and lymphorrhea. J Vasc Interv Radiol. 2018 Oct;29(10):1462–1465. doi: 10.1016/j.jvir.2018.04.020. Epub 2018 Sep 11.
- Tyndall SH, Shepard AD, Wilczewski JM, et al. Groin lymphatic complications after arterial reconstruction. J Vasc Surg. 1994 May;19(5):858–863; discussion 863-4. doi:10.1016/s0741-5214(94)70011-7.
- Salna M, Takayama H, Garan AR, et al. Incidence and risk factors of groin lymphocele formation after venoarterial extracorporeal membrane oxygenation in cardiogenic shock patients. J Vasc Surg. 2018 Feb;67(2):542–548. doi:10.1016/j.jvs.2017.05.127. Epub 2017 Aug 16.
- Wu HP, Vesely TM. Percutaneous drainage of fluid collections in the extremities. Radiology 1998 Jul;208(1):159–165. doi:10.1148/radiology.208.1.9646808.
- Ozawa M, Yamamoto M, Yamada K, et al. Intranodal embolization for groin lymphocele. Interv Radiol (Higashimatsuyama) 2021 Nov 1;6(3):117–121. doi:10.22575/interventionalradiology. 2020-0034.
- Franke M, Saager C, Kröger JR, et al. Vacuum-assisted suction drainage as a successful treatment option for postoperative symptomatic lymphoceles. Rofo 2022 Apr;194(4):384–390. doi:10.1055/a-1586-3652. Epub 2021 Oct 14.
- Karcaaltincaba M, Akhan O. Radiologic imaging and percutaneous treatment of pelvic lymphocele. Eur J Radiol. 2005;55(3):340–354. doi:10.1016/j.ejrad.2005.03.007.
- Mahrer A, Ramchandani P, Trerotola SO, et al. Sclerotherapy in the management of postoperative lymphocele. J Vasc Interv Radiol. 2010 Jul;21(7):1050–1053. doi:10.1016/j.jvir.2010.03.014. Epub 2010 Jun 2.
- Kim SW, Hur S, Kim SY, et al. Efficacy of lymph node embolization using n-butyl cyanoacrylate compared to ethanol sclerotherapy in the management of symptomatic lymphorrhea after pelvic surgery. J Vasc Interv Radiol. 2019 Feb;30(2):195–202.e1. doi:10.1016/j.jvir.2018.09.038.
- Moussa AM, Camacho JC, Maybody M, et al. Percutaneous lymphatic embolization as primary management of pelvic and retroperitoneal iatrogenic lymphoceles. J Vasc Interv Radiol. 2021 Nov;32(11):1529–1535. doi:10.1016/j.jvir. 2021.07.022. Epub 2021 Aug 5.
- Ngoc Cuong N, Hong Canh P, Tuan Linh L, et al. Intranodal lymphangiography and lymphatic embolization treatment for groin lymphorrhea: A preliminary Vietnamese report. Reports in Medical Imaging 2021;14:71–77. https://doi.org/10.2147/ RMI.S333582.
MUDr. David Janák, Ph.D.
Klinika kardiovaskulární chirurgie 2. LFUK a FN Motol
e-mail:david.janak@fnmotol.cz
ORCID 0000-0001-9815-4961
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
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