caa a22 4500 445363460 CHVBK 20180317142922.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10397-009-0504-4 doi (NATIONALLICENCE)springer-10.1007/s10397-009-0504-4 Early postoperative discharge following radical vulvectomy and bilateral inguinal lymphadenectomy for vulvar carcinoma [Elektronische Daten] [Nikolaos Burbos, Mazen Abu-Freij, Mercedes Perez-Morales, Joaquin Nieto] Currently, no robust evidence exists for the optimal period for maintaining the suction drainage in the groin incisions for women who undergo inguinal lymphadenectomy for vulvar carcinoma. In many cases, this may take more than 2weeks. Some authorities advocate early drain removal at 72h after surgery, but this approach is associated with increased risk of lymphocyst formation. We attempted to discharge women with suction drains in situ within 48 to 72h following the surgery. Four patients that underwent vulvectomy and bilateral inguinal lymphadenectomy for vulval cancer were discharged home within 48 to 72h postoperatively with suction drains in situ. The mean age was 61.5years. The average number of groin lymph nodes removed was 9.12 per patient. Only one patient had nodes positive for disease (bilaterally). Drains were removed within 7 to 10days following the discharge. Wound healing was satisfactory in all cases. No cases of wound breakdown were recorded. There was only one case of a small lymphocyst (<3cm) that resolved spontaneously within 8weeks. Early postoperative discharge with suction drains in situ appears safe for women that undergo inguinal lymphadenectomy for vulvar carcinoma. Springer-Verlag, 2009 Vulvar nationallicence Carcinoma nationallicence Inguinal nationallicence Lymphadenectomy nationallicence Discharge nationallicence Burbos Nikolaos Department of Obstetrics and Gynecology, Ipswich Hospital, Ipswich, UK aut Abu-Freij Mazen Department of Obstetrics and Gynecology, Norfolk and Norwich University Hospital, Norwich, UK aut Perez-Morales Mercedes Department of Obstetrics and Gynecology, Norfolk and Norwich University Hospital, Norwich, UK aut Nieto Joaquin Department of Obstetrics and Gynecology, Norfolk and Norwich University Hospital, Norwich, UK aut Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 89-91 1613-2076 8:1<89 2011 8 10397 https://doi.org/10.1007/s10397-009-0504-4 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10397-009-0504-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Burbos Nikolaos Department of Obstetrics and Gynecology, Ipswich Hospital, Ipswich, UK aut NATIONALLICENCE 700 1- Abu-Freij Mazen Department of Obstetrics and Gynecology, Norfolk and Norwich University Hospital, Norwich, UK aut NATIONALLICENCE 700 1- Perez-Morales Mercedes Department of Obstetrics and Gynecology, Norfolk and Norwich University Hospital, Norwich, UK aut NATIONALLICENCE 700 1- Nieto Joaquin Department of Obstetrics and Gynecology, Norfolk and Norwich University Hospital, Norwich, UK aut NATIONALLICENCE 773 0- Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 89-91 1613-2076 8:1<89 2011 8 10397 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer