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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| Format: | Article |
| Language: | English |
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Nature Portfolio
2021-01-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-81160-4 |
| _version_ | 1818751379975438336 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-18T04:34:38Z |
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| id | doaj.art-d4c6506b4f4444aa80b8920fefde64c0 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-18T04:34:38Z |
| publishDate | 2021-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-d4c6506b4f4444aa80b8920fefde64c02022-12-21T21:20:54ZengNature PortfolioScientific Reports2045-23222021-01-011111710.1038/s41598-021-81160-4A retrospective study of internal small bowel herniation following pelvic lymphadenectomy for gynecologic carcinomasYuji Tanaka0Yusuke Shimizu1Ai Ikki2Kota Okamoto3Atsushi Fusegi4Makoto Nakabayashi5Makiko Omi6Tomoko Kurita7Terumi Tanigawa8Yoichi Aoki9Sachiho Netsu10Mayu Yunokawa11Hidetaka Nomura12Maki Matoda13Sanshiro Okamoto14Kohei Omatsu15Hiroyuki Kanao16Department of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuDepartment of Gynecologic Oncology, Cancer Institute Hospital of JFCR, KoutoukuAbstract 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.https://doi.org/10.1038/s41598-021-81160-4 |
| spellingShingle | 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 Scientific Reports |
| title | 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_short | 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 |
| url | https://doi.org/10.1038/s41598-021-81160-4 |
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