IMR Press / EJGO / Volume 38 / Issue 4 / DOI: 10.12892/ejgo3681.2017

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Sealing of a drain hole using 2-octylcyanoacrylate monomer after lymphadenectomy for gynecologic cancer
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1 Department of Obstetrics and Gynecology, National Hospital Organization Saitama National Hospital, Saitama, Japan
2 Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan
Eur. J. Gynaecol. Oncol. 2017, 38(4), 570–572; https://doi.org/10.12892/ejgo3681.2017
Published: 10 August 2017
Abstract

In this study, the authors investigated whether lymphocele infection can be prevented using 2-octyl cyanoacrylate monomer, a skin closure material that provides a microbial barrier. The subjects were 34 patients treated with 2-octyl cyanoacrylate monomer to close the drain hole (n=17) or with natural drain closure only (n=17). In the control group, eight cases (47.1%) had leakage of lymph fluid that required regular changes of dressing after removal of the catheter, seven (41.1%) had lymphocele, and three (17.6%) developed lymphocele with infection. In contrast, in the 2-octyl cyanoacrylate monomer group, no cases had long-term leakage of lymph fluid and none required dressing changes, although three had leakage after the first application and required a second application of 2-octyl cyanoacrylate monomer for closure. Six cases (35.3%) had lymphocele and there were no cases with infection in the 2-octyl cyanoacrylate monomer group. 2-octyl cyanoacrylate monomer may contribute to reduction of the incidence of lymphocele infection and reduce the clinical burden caused by dressing changes.
Keywords
Lymphadenectomy
Lymphocele
2-octyl cyanoacrylate monomer
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