Complications following inguinal and ilioinguinal lymphadenectomies:a meta-analysis
| Autor: | Jens Ahm Sørensen, Jørn Bo Thomsen, Martin Söderman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Postoperative Complications/epidemiology
medicine.medical_specialty Lymph Node Excision/adverse effects neoplasms Inguinal Canal Inguinal lymphadenectomy morbidity 030230 surgery lymph node excision 03 medical and health sciences 0302 clinical medicine Postoperative Complications Medicine metastasis Humans In patient Lymphedema Melanoma Melanoma/surgery Groin business.industry medicine.disease Inguinal canal Confidence interval Surgery groin Meta-analysis Lymphedema/etiology medicine.anatomical_structure 030220 oncology & carcinogenesis Lymph Node Excision Complication business |
| Zdroj: | Söderman, A M, Thomsen, J B & Sørensen, J A 2016, ' Complications following inguinal and ilioinguinal lymphadenectomies : a meta-analysis ', Journal of Plastic Surgery and Hand Surgery, vol. 50, no. 6, pp. 315-320 . https://doi.org/10.3109/2000656X.2016.1173560 |
| DOI: | 10.3109/2000656X.2016.1173560 |
| Popis: | Background: Inguinal lymphadenectomy is essential for regional staging of malignant melanoma in the lower part of the body. The procedure is associated with a wide range of complication rates. The objective of this study was to systematically review the literature for papers describing complication rates following inguinal (ID) and ilioinguinal (I-ID) lymphadenectomies, and estimate the actual complication rates in patients with malignant melanoma. Methods: The PubMed and EMBASE databases were searched for studies reporting complications following ID and I-ID for malignant melanomas. Results: A total of 416 records were identified, of which 20 were deemed eligible for this study. The complication rates (with 95% confidence intervals) were found to be as follows: overall complications = 52% (44–60%); lymphorrea = 29% (0–71%); seroma = 23% (18–29%); infection = 21% (15–27%); wound breakdown =14% (8–21%); skin edge necrosis = 10% (6–15%); haematoma = 3% (1–5%); and lymphoedema = 33% (25–42%). Conclusion: Complication rates following ID and I-ID remain high, despite the many efforts to reduce these, with lymphorrea, seromas, and infections being the most prevalent complications. |
| Databáze: | OpenAIRE |
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