Management of Symptomatic, Post-operative Lymphocysts with an Easy-to-use, Patient-Controlled Vascular Catheter

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9 years ago
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specialty:
Gynecology

Case description

Symptomatic lymphocyst can be a complication following pelvic and para-aortic lymph node dissection performed for gynecologic malignancies. Treatment options include observation, drainage, sclerotherapy, and surgery. Percutaneous lymphocyst drainage with a vascular catheter, combined with sclerotherapy sessions using 10% iodopovidone appears to be a safe, acceptable, and effective treatment method for symptomatic, large, and persistent lymphocysts. The procedure can be performed in ambulatory settings. Video shows a step-by-step insertion of a vascular catheter into a lumen of retroperitoneal lymphocyst, followed by a single sclerotherapy application.

Suggested reading:

1. Stukan M, Leśniewski-Kmak K, Wróblewska M, Dudziak M. "Management of symptomatic ascites and post-operative lymphocysts with an easy-to-use, patient-controlled, vascular catheter". Gynecol Oncol. 2015;136:466-71.

2. Stukan M, Dudziak M. "Successful treatment of a large symptomatic lymphocyst with percutaneus drainage and repeated iodopovidone sclerotherapy". Eur J Gynaecol Oncol. 2014;35:456-7.

3. Stukan M, Dudziak M. “Lymphocele in gynecologic oncology practice – management and prophylaxis”. NOWOTWORY Journal of Oncology. 2011;61:272-8.

4. Mahrer A, Ramchandani P, Trerotola SO, Shlansky-Goldberg RD, Itkin M. “Sclerotherapy in the management of postoperative lymphocele”. J. Vasc. Interv. Radiol. 2010;21:1050-3.

5. Karcaaltincaba M, Akhan O. “Radiologic imaging and percutaneous treatment of pelvic lymphocele”. Eur. J. Radiol. 2005;55:340-54.

6. Elsandabesee D, Sharma B, Preston J, Ostrowski J, Nieto J. “Sclerotherapy with bleomycin for recurrent massive inguinal lymphoceles following partial vulvectomy and bilateral lymphadenectomy - case report and literature review”. Gynecol. Oncol. 2004;92:716-8.

tags: Lymphocysts Vascular Catheter lymph node dissection


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