Intraoperative Fibrinklebung der Leistenwunde bei gefäßchirurgischen Eingriffen

  • Horst Hamann
Conference paper
Part of the Berliner Gefäßchirurgische Reihe book series (BERLINGEFÄß, volume 5)

Summary

Protracted lymph drainage or lymph fistulae in the inguinal region following vascular surgery are troublesome and sometimes serious complications which require long-term treatment and show an increased local infection rate. Although the tissue-saving preparation, ligature of the larger visible lymph vessels and drainage of the wound are the most important factors for the avoidance of lymph seromas and fistulae, additional fibrin sealing achieves a tight closure of even the smallest lymph vessels.

In a prospective randomized study, we were able to prove the value of fibrin sealant for the prophylaxis of lymph complications in the inguinal region. Not a single patient of the fibrin sealing group (n = 25) developed protracted lymph drainage, whereas in the control group (n = 25) three lymph seromas and one lymph fistula (followed by a deep wound infection) occurred.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Kwaan JH, Bernstein JM, Connolly JE (1979) Management of lymph fistula in the groin after arterial reconstruction. Arch Surg 114: 1416–1416PubMedGoogle Scholar
  2. 2.
    Moore WS (1983) Advances in Vascular Surgery. In: Najarían JS, Delany JP (eds) Year Book Publishers, Chicago, pp 338–339Google Scholar
  3. 3.
    Sandmann W, Gisbertz KH, Kovacicek S (1976) Die Wundinfektion nach Arterienoperationen im Becken-Bein-Bereich. Chirurg 47: 130–139PubMedGoogle Scholar
  4. 4.
    Vollmar J (1982) Rekonstruktive Chirurgie der Arterien. Thieme, Stuttgart New York, S 550–551Google Scholar
  5. 5.
    Zühlke HV, Harnoss BM (1988) Septische Gefäßchirurgie. Überreuter, Wien, S 337–338Google Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt 1993

Authors and Affiliations

  • Horst Hamann
    • 1
  1. 1.Gefäßchirurgische KlinikKreiskrankenhaus LeonbergLeonbergGermany

Personalised recommendations