Dietl, Barbara and Pfister, Karin and Aufschlaeger, Carina and Kasprzak, Piotr M. (2005) Radiotherapy of inguinal lymphorrhea after vascular surgery. A retrospective analysis. STRAHLENTHERAPIE UND ONKOLOGIE, 181 (6). pp. 396-400. ISSN 0179-7158, 1439-099X
Full text not available from this repository. (Request a copy)Abstract
Background and Purpose: The formation of inguinal. lymphorrhea following vascular surgery is a rare but potentially serious problem with an incidence of about 2%. There is no consensus on the most effective treatment for groin lymphorrhea. In a retrospective analysis the usefulness of irradiation in the treatment of inguinal Lymph fistulas was investigated. Patients and Methods: From 08/1997 to 1212000, 28 patients with inguinal lymph fistulas were irradiated postoperatively (4th-19th day) with a single dose of 3 Gy up to a total dose of 9 Gy on 3 consecutive days using 120- to 300-kV photons. Three further patients received 2 x 4 Gy and 3 x 5 Gy, respectively, due to an interposed weekend. Results: Secretion volume at the beginning of radiotherapy varied between 50 and 650 ml daily (mean 203 ml., median 175 ml.), at the end of radiotherapy between 0 and 350 ml (mean 126 ml, median 120 ml.). 3/28 Lymph fistulas had resolved during radiotherapy. In 17/28 patients (60.7%) the drains could be removed within 10 days, in further 10/28 patients (35.7%) within 10-20 days after the end of radiotherapy. Conclusion: Overall, irradiation of inguinal lymph fistulas proved to be an effective and well-tolerated treatment, facilitating removal of fistula drains within 10-20 days (mean 10.5, median 7 days) after the completion of radiotherapy, thus appearing a good alternative to other conservative treatment modalities.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ARTERIAL RECONSTRUCTION; POSTOPERATIVE LYMPHOCELES; LYMPHATIC COMPLICATIONS; PERCUTANEOUS DRAINAGE; RADIATION-THERAPY; FEMORAL-ARTERY; GROIN; SCLEROTHERAPY; DOXYCYCLINE; DISSECTION; lymphorrhea; irradiation of lymph fistula; radiotherapy of benign disease |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Strahlentherapie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 11 May 2021 12:10 |
| Last Modified: | 11 May 2021 12:10 |
| URI: | https://pred.uni-regensburg.de/id/eprint/36110 |
Actions (login required)
 |
View Item |
