[Lymph fistulae following lymph node dissections--prevention and treatment using fibrin gluing]

The fibrin sealing was employed in connection with lymph node dissections - on one hand intraoperatively in order to avoid lymph fistulae (n = 26), on the other hand postoperatively in treatment of manifest lymph fistulae (n = 9). Thereby lymph fistulae could be avoided in 96.2% (n = 25) resp. a quick successful treatment of the lymph fistulae could be achieved in 7 of 9 cases (77%). On the average a quantity of 1 ml of fibrin sealant was sufficient; a high concentration of aprotinin (3500 IU) and thrombin (500 IU) was chosen. No side effects on part of the fibrin sealing were noted.