Clinical application of greater omentum plasty and fixation to prevent lymphocysts after lymphadenectomy in early-stage cervical cancer

Abstract

To explore the clinical effects of omentum plasty and fixation in the preventing the formation of lymphcysts and lower limb edema after lymphatic dissection of cervical cancer. The method we adopted is, a retrospective analysis was performed based on the clinicopathological data of patients with early cervical cancer who underwent extensive total hysterectomy, with pelvic lymph node dissection and omentum shaping and fixation at the Jiaxing Maternity and Child Health Care Hospital from January 2019 to January 2021. Greater omentum plasty and fixation was performed in 7 early-stage cervical cancer patients. The mean operation time was (210.71 ± 14.56) min, and had a recorded blood loss of 258.57 ± 39.77 mL, 18.14 ± 3.58 resected lymph nodes, 273.14 ± 34.50 mL postoperative abdominal drainage volume and 36.55 ± 2.12 g/L postoperative serum albumin. No lymphocysts were found on B-scan ultrasound reexamination one month after the surgery. However, 6 months post surgery asymptomatic Lymphatic cyst was identified via B-ultrasound in one patient but had no signs of lower extremity edema and intestinal obstruction. We found that Omentum shaping and fixation could reduce the risk of postoperative lymphatic cyst occurrence and infection pelvic lymphatic cyst and lower limb edema by absorbing the leaking lymph through the omentum. The operation was found to be safe and feasible in short-term follow-up, but long-term complications should be further explored to validate the clinical reliability of this procedure.