A retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas-Reference-Cited by-同舟云学术

A retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas

Published:2021-01-14 Issue:1 Volume:11 Page:
ISSN:2045-2322
Container-title:Scientific Reports
language:en
Short-container-title:Sci Rep

Author:

Tanaka Yuji^ORCID,Shimizu Yusuke^ORCID,Ikki Ai^ORCID,Okamoto Kota^ORCID,Fusegi Atsushi^ORCID,Nakabayashi Makoto^ORCID,Omi Makiko^ORCID,Kurita Tomoko^ORCID,Tanigawa Terumi^ORCID,Aoki Yoichi^ORCID,Netsu Sachiho^ORCID,Yunokawa Mayu^ORCID,Nomura Hidetaka^ORCID,Matoda Maki^ORCID,Okamoto Sanshiro^ORCID,Omatsu Kohei^ORCID,Kanao Hiroyuki^ORCID

Abstract

AbstractAfter pelvic lymphadenectomy (PLA), pelvic vessels, nerve, and ureter are skeletonized. Internal hernias beneath the skeletonized pelvic structure following pelvic lymphadenectomy (IBSPP) are a rare complication following PLA. To the best of our knowledge, only 12 IBSPP cases have been reported and clinical details on such hernias remain unknown. The aim of the study was to investigate the incident and etiology of IBSPP. 1313 patients who underwent open or laparoscopic pelvic lymphadenectomy were identified from our database. A retrospective review was performed. Mean follow-up period was 33.9 months. A total of 12 patients had IBSPP. Multivariate analysis of laparoscopic surgeries group as compared to open surgeries group, para-aortic lymphadenectomy rate, number of dissected lymph nodes by PLA, antiadhesive material use rate, and blood loss were lower in laparoscopic surgeries group: odd ratio (OR) = 0.13 [95% confidence interval (CI) 0.08–0.19], and OR = 0.70 [95% CI 0.50–0.99], OR = 0.17 [95% CI 0.10–0.28], OR = 0.93 [95% CI 0.92–0.94]. However, no significant difference was observed in the incidence of IBSPP between laparoscopic surgery (1.0%) and open surgery (0.8%). All IBSPP occurred in the right pelvic space. These findings may contribute to the development of prevention methods for this disease.

Publisher

Springer Science and Business Media LLC

Subject

Multidisciplinary

Link

http://www.nature.com/articles/s41598-021-81160-4.pdf

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