Complication of the laterally extended parametrectomy (LEP) procedure

Tarnai László and Ungár László: Complication of the laterally extended parametrectomy (LEP) procedure. In: Ünnepi e-könyv : Herczeg János professzor 70. születésnapjára. pp. 202-207. (2012)

Cikk, tanulmány, mű unnepi_ekonyv_herczeg_janos_2012_202-207.pdf Download (96kB)

Abstract

Introduction: Since 1993 an operative technique without adjuvant therapy (laterally extended parametrectomy, the LEP procedure) has been in use at our institution for the treatment of stage IIB cervical cancer and patients with pelvic lymph node metastases in stages IAIIA. Iliac/femoral artery embolic occlusion in the cohort of LEP operated patients was studied in an 11 years long period. Methods: LEP-Wertheim procedure was used in 320 patients between 1994 and 2005. Embolic occlusion of the iliac and/or femoral arteries was detected in 4 out of 255 (1.6%) cases. Thrombectomy on one blood vessel in 3 cases, on both deep and superficial femoral arteries in 1 case were executed to restore the vessel patency. Results: 3 out of 4 patients following external iliac/femoral artery emboli removal healed up without any arterial occlusion related symptoms. In one case preventive fasciotomy was needed to treat tumescence of the legs. This patient developed transient peroneus palsy, which necessitated the use of a plantar support for one month and physiotherapy for one year for gait rehabilitation. Conclusions: Embolus occlusion of the iliac/femoral artery during LEP/Wertheim procedure was observed in 1.6% of cases. This complication was not reported in the literature before in relation to radical surgery in cervical cancer. Operating teams using LEP operations, should be aware of that risk, and should be prepared for treatment.

Item Type:	Book Section
Heading title:	Orvosi tanulmányok
Journal or Publication Title:	Ünnepi e-könyv : Herczeg János professzor 70. születésnapjára
Date:	2012
ISBN:	978 963 306 154 1
Page Range:	pp. 202-207
Language:	English
Publisher:	Szegedi Tudományegyetem Állam- és Jogtudományi Kar
Place of Publication:	Szeged
Related URLs:	https://acta.bibl.u-szeged.hu/84656/
Uncontrolled Keywords:	Méhnyakrák - diagnosztika, Nőgyógyászat
Additional Information:	Bibliogr.: p. 206-207. ; összefoglalás angol nyelven
Subjects:	03. Medical and health sciences 03. Medical and health sciences > 03.02. Clinical medicine
Date Deposited:	2024. Apr. 09. 10:55
Last Modified:	2024. Apr. 09. 10:55
URI:	http://acta.bibl.u-szeged.hu/id/eprint/84681

Actions (login required)

View Item