Güngördük Kemal, Güngördük Özgü Celikkol, Ozdemir I Aykut, Gokcu Mehmet, Sanci Muzaffer
Departments of *Gynecologic Oncology and †Obstetrics and Gynecology, Muğla Education and Research Hospital, Muğla, ‡Department of Gynecologic Oncology, Bakirköy Dr. Sadi Konuk Education and Research Hospital, İstanbul; and §Department of Gynecologic Oncology, Tepecik Education and Research Hospital, İzmir, Turkey.
Int J Gynecol Cancer. 2017 Nov;27(9):1979-1982. doi: 10.1097/IGC.0000000000001093.
The aim of this study was to evaluate the effect of an intraoperative hemostatic cellulose agent (BLOODCARE powder [Life Line, Brno, Czech Republic]) on reducing the incidence of postoperative chylous ascites (PCA) after complete pelvic and para-aortic lymphadenectomy (PPALN) in patients with gynecological cancers treated with laparotomy.
This case control study reviewed 150 patients with gynecological cancer who underwent PPALN. In the study group (n = 75), BLOODCARE powder was applied below the left renal vein and bilateral obturator fossa. In the control group (n = 75), no sealant agent was used after the procedure, such as fibrin glue or a hemostatic cellulose agent.
The demographic and surgical characteristics of the patients in both groups were similar. Chylous ascites occurred in 9 cases (6%). The incidence of PCA was lower in the study group (1 [1.3%] vs 8 [10.7%]; P = 0.03). Logistic regression analysis indicated that using BLOODCARE powder during the surgery independently protected against the development of PCA.
Using BLOODCARE powder during retroperitoneal surgery may prevent PCA. This simple, effective agent should be used after PPALN for gynecological cancers.
