Treatment of large, persistent lymphocoeles using an argon beam coagulator and talc.

The Australian and New Zealand journal of surgery Pub Date : 1998-10-01 DOI:10.1111/j.1445-2197.1998.tb04664.x

B C Vrouenraets, J F Thompson, W H McCarthy

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引用次数: 10

Abstract

Background: Lymphocoele formation can be a troublesome surgical complication after lymph node dissection and mobilization of large skin flaps. Occasionally, lymphocoeles persist for prolonged periods despite repeated aspiration. Treatment by sclerotherapy has been recommended, but this requires a prolonged treatment time and often causes intense pain.

Methods: The technique used to treat large, persistent lymphocoeles involved 'painting' the lymphocoele wall with an argon beam coagulator after evacuating its contents. Sterile talc was then distributed liberally through the cavity, a closed suction drain placed and the wound closed.

Results: The procedure was completely successful in each of the four patients treated. After a mean follow-up period of 11 months (range 6-15 months) no lymphocoele recurrence has occurred.

Conclusions: Use of an argon beam coagulator and talc reliably achieves rapid, definitive obliteration of large, persistent lymphocoeles.

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用氩气束凝固剂和滑石治疗大而持久的淋巴腔。

背景:淋巴囊肿形成是淋巴结清扫和大皮瓣活动后的一个麻烦的手术并发症。偶尔，尽管反复抽吸，淋巴腔囊肿仍持续很长时间。建议采用硬化疗法治疗，但这需要延长治疗时间，并经常引起剧烈疼痛。方法:该技术用于治疗大的、持续性的淋巴腔，包括在排出内容物后用氩气束凝固剂“涂漆”淋巴腔壁。然后将无菌滑石粉通过腔体自由分布，放置封闭的吸液管并关闭伤口。结果:4例患者手术均完全成功。平均随访11个月(6-15个月)，未见淋巴囊肿复发。结论:使用氩气束凝固剂和滑石可靠地实现了大的、持续性的淋巴腔的快速、明确的闭塞。

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The Australian and New Zealand journal of surgery

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