Morbidity of inguinofemoral lymphadenectomy in vulval cancer

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • A A Soliman - , EI Shatby Maternity University Hospital, Alexandria University (Author)
  • M Heubner - , University of Duisburg-Essen (Author)
  • R Kimmig - , University of Duisburg-Essen (Author)
  • P Wimberger - , University of Duisburg-Essen (Author)

Abstract

BACKGROUND: The aim of this study is to detect possible risk factors for development of short- and long-term local complications after inguinofemoral lymphadenectomy for vulval cancer.

METHODS: This retrospective cohort study included 34 vulval cancer patients that received inguinofemoral lymphadenectomy. The detected complications were wound cellulitis, wound seroma formation, wound breakdown, wound infection, and limb lymphoedema. Followup of the patient ran up to 84 months after surgery.

RESULTS: Within a total of 64 inguinofemoral lymphadenectomies, 24% of the inguinal wounds were affected with cellulitis, 13% developed a seroma, 10% suffered wound breakdown, 5% showed lower limb edema within a month of the operation, and 21.4% showed lower limb edema during the long-term followup. No significant correlation could be found between saphenous vein ligation and the development of any of the local complications. The 3-year survival rate in our cohort was 89.3%.

CONCLUSIONS: Local complications after inguino-femoral lymphadenectomy are still very high, with no single pre-, intra-, or postoperative factor that could be incriminated. Saphenous vein sparing provided no significant difference in decreasing the rate of local complications. More trials should be done to study the sentinel lymph node detection technique.

Details

Original languageEnglish
Article number341253
JournalThe Scientific World Journal
Volume2012
Publication statusPublished - 2012
Peer-reviewedYes
Externally publishedYes

External IDs

PubMedCentral PMC3259693
Scopus 84856378556

Keywords

Sustainable Development Goals

Keywords

  • Cellulitis/epidemiology, Female, Humans, Inguinal Canal/surgery, Lymph Node Excision, Morbidity, Postoperative Complications/epidemiology, Retrospective Studies, Surgical Wound Dehiscence/epidemiology, Surgical Wound Infection/epidemiology, Vulvar Neoplasms/surgery