Suture flap fixation reduces lymphatic drainage after inguinal node dissection in penile cancer patients
Background: seroma formation is a frequent complications following inguinal lymph node dissection in patient with penile carcinoma. This study assessed the impact of suture flap fixation technique decreased time to drain removal and wound complications in penile cancer patients undergoing inguinal lymph node dissection.
Methods: This study assessed (n=58) surgical sites of the penile cancer patients undergoing inguinal lymph node dissection for squamous cell carcinoma of penis between 2011 and 2016 in Buriram hospital. These were compared with suture flap fixation technique whereby suture skin flap to fascia at the floor of operative site and standard inguinal lymph node dissection alone. At the end of procedure a closed suction drain was routine placed in the groin. The primary outcome was to compare the time to drain removal in both groups.
Results: A total 58 surgical sites of surgical lymph node dissection with suture flap fixation technique (n=31) and standard inguinal lymph node dissection alone ( n =27) were enrolled. Mean duration of time to drain removal was significant reduced in the suture flap fixation technique group compared with standard technique alone group (5.9±2.6 days versus 8.7±3.1days p 0.001). No statistically significant differences were observed for the operative time and the following postoperative complications: infection, seroma formation and skin flap problems in the two groups.
Conclusions: Suture flap fixation technique resulted in a significant reduction the time to drain removal of inguinal lymph node resection in penile cancer patients.
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