A retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas
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 repo...
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Nature Portfolio
2021
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oai:doaj.org-article:d4c6506b4f4444aa80b8920fefde64c02021-12-02T14:12:42ZA retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas10.1038/s41598-021-81160-42045-2322https://doaj.org/article/d4c6506b4f4444aa80b8920fefde64c02021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81160-4https://doaj.org/toc/2045-2322Abstract 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.Yuji TanakaYusuke ShimizuAi IkkiKota OkamotoAtsushi FusegiMakoto NakabayashiMakiko OmiTomoko KuritaTerumi TanigawaYoichi AokiSachiho NetsuMayu YunokawaHidetaka NomuraMaki MatodaSanshiro OkamotoKohei OmatsuHiroyuki KanaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021) |
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Medicine R Science Q 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 A retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas |
| description |
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. |
| format |
article |
| author |
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 |
| author_facet |
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 |
| author_sort |
Yuji Tanaka |
| title |
A retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas |
| title_short |
A retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas |
| title_full |
A retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas |
| title_fullStr |
A retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas |
| title_full_unstemmed |
A retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas |
| title_sort |
retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomas |
| publisher |
Nature Portfolio |
| publishDate |
2021 |
| url |
https://doaj.org/article/d4c6506b4f4444aa80b8920fefde64c0 |
| work_keys_str_mv |
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