To assess the current level of evidence to determine whether placement of a drain is beneficial after groin dissection in terms of reducing seroma, haematoma, wound dehiscence and wound infection rates, and to determine the optimal type and duration of drainage following groin dissection if it is shown to be beneficial.
We did not restrict the search and study selection with respect to language, date of publication or study setting. We considered all randomised controlled trials RCTs comparing wound drainage with no wound drainage in individuals undergoing groin dissection, where the most superior node excised was Cloquet's node the most superior inguinal lymph node. No limits were applied to language of publication or trial location. Two review authors independently determined the eligibility of each trial.
Two review authors, working independently, screened studies identified from the search; there were no disagreements. What are lymph glands? Why remove lymph glands? Why insert drainage tubes after surgery? The purpose of this review The aim of this review was to review all randomised clinical trials RCTs that have compared what happens to patients who had a drain inserted after removal of the inguinal lymph nodes with patients who did not have a drain.
What the review discovered We did not identify any RCTs that compared what happens when you do or do not use drains after surgery for inguinal lymph node removal and therefore we still do not know if drains are beneficial in this context.
Authors' conclusions:. A common cause of lymphedema is removal of the breast mastectomy and underarm lymph tissue for breast cancer treatment. This causes lymphedema of the arm in some people, because the lymphatic drainage of the arm passes through the armpit axilla. Rare forms of lymphedema that are present from birth congenital may result from problems in the development of the lymphatic vessels.
The health care provider will perform a physical exam and ask about your medical history. This will include questions about how much the swelling improves with elevation and how firm the tissues are.
Manual lymph drainage is a light massage therapy technique. During massage, the skin is moved in certain directions based on the structure of the lymphatic system. This helps the lymph fluid drain through the proper channels. Treatment also includes skin care to prevent injuries, infection, and skin breakdown.
Light exercise and movement programs may also be prescribed. Wearing compression garments on the affected area or using a pneumatic compression pump may be helpful. Your provider and physical therapist will decide which compression methods are best.
Surgery is used in some cases, but it has limited success. The surgeon must have a lot of experience with this type of procedure. You will still need physical therapy after surgery to reduce lymphedema. In rare cases, surgery to bypass abnormal lymph tissue using vein grafts is done. Lymphadenitis occurs when one or more lymph nodes are infected by a bacteria, a virus, or a fungus.
The main symptom of lymphadenitis is enlarged lymph nodes. A lymph node is considered enlarged if it is about one-half inch wide. Symptoms caused by an infected lymph node or group of nodes may include:. The symptoms of lymphadenitis may look like other medical conditions or problems. Always see your healthcare provider for a diagnosis. If you have lymphadenitis, the most important parts of your diagnosis are usually your history and the physical exam done by your healthcare provider.
You may be asked about your symptoms, such as chills and fever, any recent travel, any breaks in your skin, and recent contact with cats or other animals.
Then, during the physical exam, your healthcare provider will look for signs of infection near the enlarged lymph nodes. The exact type of treatment depends on what type of infection has spread into your lymph nodes.
Once an infection has spread into some lymph nodes, it can spread quickly to others and to other parts of your body, so it's important to find the cause of the infection and start treatment quickly. The best way to prevent lymphadenitis is to see your healthcare provider at the first sign of any infection or if you notice a tender swelling that feels like a little lump just beneath your skin. Make sure to cleanse and use antiseptic on any scratches or breaks in your skin and always practice good hygiene.
Take all your medicines exactly as prescribed and keep all your follow-up appointments. Don't use any over-the-counter medicines without first talking to your healthcare provider. Cool compresses and elevating the affected part of your body may help relieve pain and swelling while your medicines are doing their work.
In most cases, lymphadenitis clears up quickly with proper treatment, but it may take more time for lymph node swelling to go away. Be sure to let your healthcare provider know if your lymphadenitis symptoms come back. Health Home Conditions and Diseases.
Lymphadenitis can be one of two types: Localized lymphadenitis.
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