![](/images/graphics-bg.png)
Evaluation of Lymphorrhea and Incidence of Lymphoceles: 4DryField® PH in Radical Retropubic Prostatectomy
Joint Authors
Karsch, Johannes-J.
Berthold, Martin
Breul, Jürgen
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-23
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
To investigate impact of polysaccharide hemostat 4DryField PH (4DF) applied on lymph node dissection area after radical retropubic prostatectomy (RRP) on lymphorrhea and lymphocele (LC) formation.
Methods.
104 consecutive patients underwent RRP, 51 without 4DF treatment (CT-group) and 53 with 4DF treatment (4DF-group).
Groups were comparable (age, risk profile, and lymph node numbers).
Postoperative drain loss (PDL) and development of early and late LC were analyzed (mean follow-up at 7 months: 100%).
Results.
PDL was 452.5 ± 634.2 mL without and 308.5 ± 214 mL with 4DF treatment.
PDL > 1000 mL only occurred in CT-group (5/51).
Overall, 45 LC (26 in CT- versus 19 in the 4DF-group) were diagnosed.
At day 8, LC were equally distributed between groups.
Incidence of late LC, however, was twice in controls (16/51) versus 4DF-patients (8/53).
Symptomatic LC (4 in untreated patients, 2 in 4DF-patients) were treated with percutaneous drainage (duration: 45 days in untreated patients versus 12 days in 4DF-patients).
Conclusion.
Application of 4DF on lymph node dissection areas lessened total drain loss and significantly lowered high volume drain loss.
Furthermore, 4DF reduced frequency of late lymphoceles and lymphoceles requiring treatment by half, as well as duration of percutaneous drainage by more than two-thirds.
American Psychological Association (APA)
Karsch, Johannes-J.& Berthold, Martin& Breul, Jürgen. 2016. Evaluation of Lymphorrhea and Incidence of Lymphoceles: 4DryField® PH in Radical Retropubic Prostatectomy. Advances in Urology،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1096738
Modern Language Association (MLA)
Karsch, Johannes-J.…[et al.]. Evaluation of Lymphorrhea and Incidence of Lymphoceles: 4DryField® PH in Radical Retropubic Prostatectomy. Advances in Urology No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1096738
American Medical Association (AMA)
Karsch, Johannes-J.& Berthold, Martin& Breul, Jürgen. Evaluation of Lymphorrhea and Incidence of Lymphoceles: 4DryField® PH in Radical Retropubic Prostatectomy. Advances in Urology. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1096738
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1096738