Abstract
Objective: A pelvic lymphocele is a cystic collection of lymph fluid in the pelvis following pelvic lymphadenectomy. This retrospective study was undertaken to show the efficacy and safety of simple one-step catheter placement for the treatment of infected lymphocele. Study design: Ten infected lymphoceles were treated in nine patients. The percutaneous drainage procedures were performed using simple one-step trocar technique under sonographical guidance. The one-step pig tail catheter system consists of an 18-gauge needle, stylet, and 7F drainage tube. A 33% povidone–iodine solution was instilled and left in the cavity for 30min twice daily. Results: Overall, 9 of the 10 infected lymphoceles were successfully treated with one-step catheter drainage. Percutaneous catheter drainage was maintained for 2–17 days. One of the patients required open surgery for the persistence of infected lymphocele due to the catheter dislodgment. No patients encountered sepsis, bowel perforation, and neurovascular injury. Conclusion: Simple one-step procedure enables long-term drainage and is a well-tolerated, safe, and effective technique in the management of infected lymphocele.
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