Suture flap fixation reduces lymphatic drainage after inguinal node dissection in penile cancer patients
Objective: This study assessed the impact of the suture flap fixation technique in decreasing the time to drain removal and wound complications in penile cancer patients undergoing inguinal lymph node dissection.
Material and method: This study assessed (n=58) the surgical sites of penile cancer patients who underwent inguinal lymph node dissection for squamous cell carcinoma of the penis between 2011 and 2016 in Buriram Hospital. The study compared with the suture flap fixation technique in which the skin flap is sutured to the fascia at the floor of the operative site with standard inguinal lymph node dissection. At the end of the procedure a closed suction drain was routinely placed in the groin. The primary outcome was to compare the time to drain removal in both groups.
Result: A total 58 surgical sites of surgical lymph node dissection using the suture flap fixation technique (n=31) and the standard inguinal lymph node dissection only (n=27) were enrolled. Mean duration of time to drain removal was significantly reduced in the suture flap fixation technique group compared with the standard technique only group (5.9+2.6 days versus 8.7+3.1 days p 0.001). No statistically significant differences were observed for operative time and the following postoperative complications: infection, seroma formation, and skin flap problems in the two groups.
Conclusion: Suture flap fixation technique resulted in a significant reduction in the time to drain removal of inguinal lymph node resection in penile cancer patients
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