Stadelmann Wayne K
Department of Surgery, University of Louisville, KY 40292, USA.
Ann Plast Surg. 2002 Feb;48(2):205-8. doi: 10.1097/00000637-200202000-00017.
Groin lymphoceles and lymphorrhea are a rare complication of medial thigh lift procedures. The author describes a case in which a very thin patient developed groin lymphorrhea after an uncomplicated medial thigh lift procedure. Initial treatment interventions, including edema control and the placement of a drain with surgical exploration, failed to control the lymphatic leak. Additionally, the onset of an infection and abscess formation complicated the treatment efforts. Using techniques well established in treating cutaneous malignancies, the lymphocele was treated successfully by identifying three separately damaged lymphatic channels with the use of intraoperative lymphatic mapping with blue dye. No drains were needed and the immediate cessation of lymph flow was noted. Using this novel adaptation of a well-known technique, the groin lymphocele was able to be repaired quickly and effectively with minimal morbidity and no evidence of recurrence to date.
腹股沟淋巴囊肿和淋巴漏是大腿内侧提升手术罕见的并发症。作者描述了一例病例，一名非常消瘦的患者在进行了无并发症的大腿内侧提升手术后出现了腹股沟淋巴漏。最初的治疗干预措施，包括控制水肿和放置引流管并进行手术探查，均未能控制淋巴漏。此外，感染的发生和脓肿的形成使治疗工作变得复杂。通过使用术中蓝色染料淋巴管造影术识别三条分别受损的淋巴管，运用治疗皮肤恶性肿瘤的成熟技术成功治疗了淋巴囊肿。无需放置引流管，且淋巴液立即停止流动。通过对一项知名技术的这种新颖应用，腹股沟淋巴囊肿得以快速有效地修复，发病率极低，且迄今为止没有复发迹象。
