Journal of plastic surgery and hand surgery · 2016
Complications following inguinal and ilioinguinal lymphadenectomies: a meta-analysis.
СтатьяМетаанализОбзорНазвание и аннотация: Перевод пока не подготовлен
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Söderman Martin, Thomsen Jørn B, Sørensen Jens A
Аннотация
BACKGROUND: Inguinal lymphadenectomy is essential for regional staging of malignant melanoma in the lower part of the body. The procedure is associated with a wide range of complication rates. The objective of this study was to systematically review the literature for papers describing complication rates following inguinal (ID) and ilioinguinal (I-ID) lymphadenectomies, and estimate the actual complication rates in patients with malignant melanoma.
METHODS: The PubMed and EMBASE databases were searched for studies reporting complications following ID and I-ID for malignant melanomas.
RESULTS: A total of 416 records were identified, of which 20 were deemed eligible for this study. The complication rates (with 95% confidence intervals) were found to be as follows: overall complications = 52% (44-60%); lymphorrea = 29% (0-71%); seroma = 23% (18-29%); infection = 21% (15-27%); wound breakdown =14% (8-21%); skin edge necrosis = 10% (6-15%); haematoma = 3% (1-5%); and lymphoedema = 33% (25-42%).
CONCLUSION: Complication rates following ID and I-ID remain high, despite the many efforts to reduce these, with lymphorrea, seromas, and infections being the most prevalent complications.
METHODS: The PubMed and EMBASE databases were searched for studies reporting complications following ID and I-ID for malignant melanomas.
RESULTS: A total of 416 records were identified, of which 20 were deemed eligible for this study. The complication rates (with 95% confidence intervals) were found to be as follows: overall complications = 52% (44-60%); lymphorrea = 29% (0-71%); seroma = 23% (18-29%); infection = 21% (15-27%); wound breakdown =14% (8-21%); skin edge necrosis = 10% (6-15%); haematoma = 3% (1-5%); and lymphoedema = 33% (25-42%).
CONCLUSION: Complication rates following ID and I-ID remain high, despite the many efforts to reduce these, with lymphorrea, seromas, and infections being the most prevalent complications.