Intraoperative lymphatic mapping to treat groin lymphorrhea complicating an elective medial thigh lift.

Abstract:

:Groin lymphoceles and lymphorrhea are a rare complication of medial thigh lift procedures. The author describes a case in which a very thin patient developed groin lymphorrhea after an uncomplicated medial thigh lift procedure. Initial treatment interventions, including edema control and the placement of a drain with surgical exploration, failed to control the lymphatic leak. Additionally, the onset of an infection and abscess formation complicated the treatment efforts. Using techniques well established in treating cutaneous malignancies, the lymphocele was treated successfully by identifying three separately damaged lymphatic channels with the use of intraoperative lymphatic mapping with blue dye. No drains were needed and the immediate cessation of lymph flow was noted. Using this novel adaptation of a well-known technique, the groin lymphocele was able to be repaired quickly and effectively with minimal morbidity and no evidence of recurrence to date.

journal_name

Ann Plast Surg

authors

Stadelmann WK

doi

10.1097/00000637-200202000-00017

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

205-8

issue

2

eissn

0148-7043

issn

1536-3708

journal_volume

48

pub_type

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