IMR Press / EJGO / Volume 9 / Issue 2 / pii/1988025

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 as a courtesy and upon agreement with S.O.G.

Original Research

Complications of axillary, inguinal, pelvic and para-aortic lymphadenectomy

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1 Institute of Gynecology and Obstetrics, Dept. B, Torino University, Italy
2 Institute of Oncology, Dept. Surgical Oncology, Torino University, Italy
3 Department of Pathology, S. Anna Hospital,Torino, Italy
Eur. J. Gynaecol. Oncol. 1988, 9(2), 130–135;
Published: 10 April 1988

Post-axillary lymphadenectomy complications have been checked in 1097 patients. Lymphedema occurred in 4.6% of cases, brachia! injuries in 2% and necrosis with wound dehis­cence in 0.44%. Pelvic lymphadenectomy complications have been studied in l39 patients who underwent Wert­heim's operation and in 4 cases treated with Schauta-Mitra's operation for cervix or endometrium cancer. Para-aortic and pelvic lymphadenectomy complications have been considered in 92 patients who underwent W ertheim's operation, in 10 patients treated with anterior pelvic exenteration and in 1 patient who underwent posterior pelvic exenteration. The complications of para- aortic and pelvic selective lymphadenectomy have been checked in 101 patients. We had 3 peri-operatory deaths, 5 severe gastrointestinal complications (3 deceased for fistulae) and 2 intraoperatory iliac vessel injuries. Uretero-vaginal fistulae occurred in 6.2% of the cases also treated with radiumtherapy and in 2.2% of the others. Intra/ post-operatory bleeding was respectively 1500 ± 450 mL and 450 ± 300 mL. The complications of inguino-femoral and inguino-pelvic lymphadenectomy for vulvar cancer have been checked in 35 patients who had necrosis and wound dehiscence in all cases and lower limb thrombophlebitis in 2 cases.

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