Your browser doesn't support javascript.
loading
Prevention of lymphocele by using gelatin-thrombin matrix as a tissue sealant after pelvic lymphadenectomy in patients with gynecologic cancers: a prospective randomized controlled study / 부인종양
Journal of Gynecologic Oncology ; : e37-2017.
Article in English | WPRIM | ID: wpr-163712
ABSTRACT

OBJECTIVE:

This prospective randomized controlled pilot study aimed to find whether gelatin-thrombin matrix used as a tissue sealant (FloSeal) can prevent the occurrence of pelvic lymphocele in patients with gynecologic cancer who has undergone pelvic lymphadenectomy.

METHODS:

Each patient, who undergo a laparotomic pelvic lymph node dissection on both sides, was randomly assigned for FloSeal application on 1 side of the pelvis. The other side of the pelvis without any product application being the control side. The amount of lymph drainage at each side of the pelvis was measured for 3 days, and computed tomography scans were obtained 7 days and 6 months after surgery for detection of pelvic lymphocele.

RESULTS:

Among 37 cases, the median amount of lymph drainage was significantly decreased in the hemi-pelvis treated with FloSeal compared to the control hemi-pelvis (p=0.025). The occurrence of lymphocele was considerably reduced in treated hemi-pelvis (8/37, 21.6%) compared with control hemi-pelvis (12/37, 32.4%) after 7 post-operative days (p=0.219), and more decreased in the treated hemi-pelvis (5/37, 13.5%) compared with control hemi-pelvis (9/37, 24.3%) after postoperative 6 months (p=0.344).

CONCLUSION:

The application of FloSeal as a tissue sealant in lymph nodes resected tissues can reduce the incidence of pelvic lymphocele in gynecologic cancer patients. A large randomized controlled study could confirm these preliminary results.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Pelvis / Lymphocele / Pilot Projects / Drainage / Incidence / Prospective Studies / Secondary Prevention / Genital Neoplasms, Female / Lymph Node Excision / Lymph Nodes Type of study: Controlled clinical trial / Incidence study / Observational study / Prognostic study / Risk factors Limits: Female / Humans Language: English Journal: Journal of Gynecologic Oncology Year: 2017 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Main subject: Pelvis / Lymphocele / Pilot Projects / Drainage / Incidence / Prospective Studies / Secondary Prevention / Genital Neoplasms, Female / Lymph Node Excision / Lymph Nodes Type of study: Controlled clinical trial / Incidence study / Observational study / Prognostic study / Risk factors Limits: Female / Humans Language: English Journal: Journal of Gynecologic Oncology Year: 2017 Type: Article