A gelatin matrix-thrombin tissue sealant (FloSeal) application in the management of groin breakdown after inguinal lymphadenectomy for vulvar cancer

Lin Han, L Y Han, Veronica Schimp, V Schimp, J. C. Oh, P T Ramirez
International Journal of Gynecological Cancer · 2004 · vol. 14(4) , pp. 621–624 · doi:10.1111/j.1048-891x.2004.14411.x · PMID:15304156 · W2041410514
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This study evaluated the use of a gelatin matrix-thrombin tissue sealant (FloSeal) to manage groin breakdown following inguinal lymphadenectomy in vulvar cancer patients.

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Abstract

The rate of groin breakdown after radical wide vulvar excision and inguinal lymphadenectomy for vulvar cancer remains significant despite conservative surgical approaches. An 86-year-old Latin American woman underwent wide radical excision and bilateral inguinal lymphadenectomy for vulvar cancer. The postoperative course was complicated by bilateral groin wound separation and high output lymphorrhea. The patient responded to the application of a gelatin matrix-thrombin tissue sealant (FloSeal) to the bases of each groin with resolution in lymphorrhea and formation of granulation tissue. The application of a gelatin matrix-thrombin tissue sealant (FloSeal) may be a viable treatment in the management of groin breakdown in selected patients when conventional therapy produces suboptimal results.

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MeSH descriptors

Carcinoma, Squamous Cell Gelatin Sponge, Absorbable Lymph Node Excision Surgical Wound Dehiscence Tissue Adhesives Vulvar Neoplasms Aged Aged, 80 and over Carcinoma, Squamous Cell Female Gelatin Sponge, Absorbable Groin Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Lymph Lymph Node Excision Surgical Wound Dehiscence Surgical Wound Dehiscence Tissue Adhesives

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License: CC0 · commercial use OK