Effective combination of lymphatico‐venous anastomosis and negative pressure wound therapy for lymphocyst: A Case Study

• Published in: The journal of obstetrics and gynaecology research Vol. 46; no. 7; pp. 1224 - 1228
• Main Authors: Shimono, Ayano, Sakuma, Hisashi, Watanabe, Shiho, Kono, Hikaru
• Format: Journal Article
• Language: English
• Published: Kyoto, Japan John Wiley & Sons Australia, Ltd 01.07.2020; Wiley Subscription Services, Inc
• Subjects: Anastomosis; Biopsy; Case Report; Case Reports; Genital cancers; lymph node excision; Lymph nodes; lymphatic cyst; Lymphatic system; negative pressure wound therapy; Pressure; surgical anastomosis; Vagina; vaginal cancer; Wound healing; Wounds; vaginal cancer; lymph node excision; negative pressure wound therapy; surgical anastomosis; lymphatic cyst
• ISSN: 1341-8076; 1447-0756
• DOI: 10.1111/jog.14300

Lymphorrhea and lymphocysts are complications that occur after lymph node dissection or biopsy and are difficult to treat. Conventional treatments for lymphocysts are not always effective. For instance, lymphatico‐venous anastomosis has a limited treatment efficacy when the cyst wall is thickened, and negative pressure wound therapy is limited by the installation site and longer treatment times. To overcome these individual shortcomings, we aimed to assess whether a combination of both interventions would be effective. In this study, we report the application of a lymphatico‐venous anastomosis combined with negative pressure wound therapy for treating bilateral inguinal lymph nodes and pelvic lymph node dissection following treatment of vaginal cancer. Short‐term improvements were observed with no recurrence of lymphocysts at 1‐year follow‐up.