Back to Search Start Over

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

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

Authors :
Yuji Tanaka
Yusuke Shimizu
Ai Ikki
Kota Okamoto
Atsushi Fusegi
Makoto Nakabayashi
Makiko Omi
Tomoko Kurita
Terumi Tanigawa
Yoichi Aoki
Sachiho Netsu
Mayu Yunokawa
Hidetaka Nomura
Maki Matoda
Sanshiro Okamoto
Kohei Omatsu
Hiroyuki Kanao
Source :
Scientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
Publication Year :
2021
Publisher :
Nature Portfolio, 2021.

Abstract

Abstract After 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.

Subjects

Subjects :
Medicine
Science

Details

Language :
English
ISSN :
20452322
Volume :
11
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Scientific Reports
Publication Type :
Academic Journal
Accession number :
edsdoj.4c6506b4f4444aa80b8920fefde64c0
Document Type :
article
Full Text :
https://doi.org/10.1038/s41598-021-81160-4