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The use of indocyanine green in the management of symptomatic lymphatic leaks following inguinal lymph node surgery

Published:August 21, 2020DOI:https://doi.org/10.1016/j.bjps.2020.08.043
      A number of techniques have been proposed to prevent seroma formation, such as the use of quilting sutures, barbed sutures, and immobilisation with thromboembolism prophylaxis and compression garments. Nevertheless, around 50% of patients undergoing inguinal lymph node dissection
      • Chang S.B.
      • et al.
      Prospective assessment of postoperative complications and associated costs following inguinal lymph node dissection (ILND) in melanoma patients.
      and 1.2% −14.9% of sentinel lymph node biopsy (SLNB) patients
      • Paradela S.
      et al. Short-term morbidity associated with ambulatory sentinel lymph node biopsy: a Spanish tertiary care hospital based study and literature review.
      develop a seroma. Persistent seroma can lead to delayed wound healing, infection, increased length of hospital stay and re-admission. There is limited evidence within the literature on how to manage chronic, symptomatic seromas and lymphoceles.
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