Postoperative Seroma Following Inguinal Lymphadenectomy

  • Seroma:
    • Is the most common complication following inguinal lymphadenectomy
  • Closed-suction drains:
    • Are recommended in an attempt to prevent seroma formation
  • Guidelines do not exist for duration of drainage:
    • However, most literature suggests keeping drains in place until output decreases to less than 30 cc/day:
      • Which usually occurs 1 to 2 weeks following surgery
  • References:
    • Delman KA, Mansfield PF, Lee JE. Indications and techniques of regional lymphadenectomy. In: Curley SA, Pollock RE, Ross MI, eds. Advanced Therapy in Surgical Oncology. Hamilton, Ontario: BC Decker Inc, 2008:771-782.
    • Operative Standards for Cancer Surgery: Volume 2. Ch. 10: Neck, Axillary, Ilioinguinal, and Other Lymph Node Dissections.

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