Intranodal embolization for lymphocele after revascularization procedure in the groin

Area of Science:

• Vascular Surgery
• Interventional Radiology
• Lymphatic Medicine

Background:

• Postoperative wound complications are common after groin revascularization.
• Lymphatic system injury, leading to lymphocele and lymphorrhea, increases infection risk, including prosthetic graft infections.

Observation:

• A patient developed a postoperative lymphocele with a subsequent lymphatic fistula and surgical wound dehiscence after groin revascularization.

Findings:

• Successful treatment was achieved through intranodal embolization of the injured lymph node using Histoacryl tissue glue.
• This minimally invasive technique addressed the lymphatic leakage and facilitated wound healing.

Implications:

• Intranodal embolization offers a potential therapeutic option for managing complex lymphatic fistulas post-revascularization.
• This approach may reduce the risk of infectious complications and improve outcomes in patients with prosthetic grafts.