141 results match your criteria post-operative chylous


[A Case Report of Postoperative Chylous Ascites after Laparoscopic Sigmoidectomy].

Gan To Kagaku Ryoho 2021 Apr;48(4):563-565

Dept. of Surgery, Tokyo Metropolitan Otsuka Hospital.

A female in her 70s was diagnosed as sigmoid colon cancer. Laparoscopic sigmoidectomy was performed. Chylous ascites was observed after starting oral intake. Read More

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Novel interventional radiological management for lymphatic leakages after gynecologic surgery: lymphangiography and embolization.

Gland Surg 2021 Mar;10(3):1260-1267

Department of Radiology, Seoul National University Hospital, Seoul, Korea.

Post-operative lymphatic leakage is a common complication of a radical gynecologic surgery involving aggressive lymph node dissection. Its manifestation varies from asymptomatic lymphoceles to life-threatening chylous ascites. In the past, nuclear medicine lymphoscintigraphy was the sole imaging modality for the confirmation of the leakage, of which application is limited due to its poor spatial resolution. Read More

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Chylous retroperitoneum following 720 degree anteroposterior-combined corrective surgery for adult spinal deformity with split vertebral fracture subluxation: a case report.

Spine Deform 2021 Mar 2. Epub 2021 Mar 2.

Department of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1, Kitazato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.

Study Design: Clinical case report.

Purpose: To report the rare case with post-operative chylous retroperitoneum after corrective surgery for adult spinal deformity.

Methods: We present a case of a 73-year-old woman with Parkinson's disease. Read More

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Extracorporeal Membrane Oxygenation as a Rescue Therapy for Postoperative Diastolic Dysfunction and Refractory Chylothorax.

ASAIO J 2021 May;67(5):e99-e101

Pediatric Cardiac Intensive Care Unit, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

This is the first published case, as far as we know, of a term neonate with refractory chylothorax secondary to diastolic dysfunction in the cardiac postoperative period, where extracorporeal membrane oxygenation (ECMO) was used to improve the physiologic derangements, thus allowing resolution of the chylous effusion. The infant was prenatally diagnosed with d-transposition of the great arteries. He was started on prostaglandin infusion and underwent balloon atrial septostomy followed by arterial switch operation. Read More

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Use of Octreotide in association with talc poudrage for the management of a severe chylothorax: A case report.

Int J Surg Case Rep 2021 Feb 15;79:156-159. Epub 2021 Jan 15.

Division of Thoracic Surgery, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy. Electronic address:

Introduction And Importance: Chylothorax is an uncommon form of pleural effusion characterized by the presence of chylomicrons, triglycerides and cholesterol in the physical and chemical examination of the pleural fluid. It may have poor prognosis if not properly treated. Currently, conservative measures are the first line of treatment for managing chylothorax. Read More

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February 2021

Laparosacopic management with combination of fatty meal and methylen-blu for chylous leak after a left para-aortic paraganglioma excision.

J Surg Case Rep 2020 Dec 29;2020(12):rjaa497. Epub 2020 Dec 29.

Emergency Surgery Unit, Emergency Department, Careggi University Hospital, Florence, Italy.

We report a case of chylous leak recognized post-operatively after abdominal surgery for left para-aortic paraganglioma in a young female with a history of open botallo's duct. Conservative measures failed to control the leak and the patient is not eligible for sclerotisation. Laparoscopic exploration with intralipidand methylen blue injection through an orogastric tube revealed the leaking area near the superior mesenteric vein behind the Traitz, and this was ligated with non-asorbable suture and placement of acrylic glue. Read More

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December 2020

Chylous ascites: Case report of a rare presentation of blunt abdominal trauma.

Int J Surg Case Rep 2020 30;77:799-802. Epub 2020 Nov 30.

General Surgery Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal.

Introduction: Chylous ascites is the accumulation of a milk-like peritoneal fluid rich in triglycerides, due to the presence of intestinal lymph in the abdominal cavity. The most common causes of chylous acites in adults are abdominal malignancy and cirrhosis. Very few cases of chylous ascites associated to blunt abdominal trauma have been published in the literature. Read More

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November 2020

A medical epopee: recurrent fungal endocarditis, heart transplantation and chylopericardium.

BMC Cardiovasc Disord 2020 10 31;20(1):469. Epub 2020 Oct 31.

Deparment of Interventional Radiology, Hospital Israelita Albert Einstein, São Paulo, Brazil.

Background: Candida prosthetic endocarditis is associated with high mortality rates and valve replacement surgery, together with antifungal treatment, play a major role in eradicating the fungal infection. Valve reoperations in these scenarios may be relatively common due to the high infection relapse rates and, in some cases, heart transplantation may be an imposing therapy for infection resolution and for the heart failure related to the myocardial reoperation injury. Among the many postoperative complications related to heart transplantation, chylopericardium is a rare but challenging example. Read More

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October 2020

Prone position thoracoscopic management of neck chyle leak following major head and neck surgery. A case series.

Ann Ital Chir 2020 ;91:265-272

Chyle leak is a major compication following head and neck surgery, with reported incidence of 0.5% up to 8.3% in published literature. Read More

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January 2020

Experience With 15 Years of Laparoscopic Donor Nephrectomy: Review of 2500 Cases.

Transplant Proc 2020 Jul - Aug;52(6):1671-1674. Epub 2020 May 21.

Department of Renal Transplant Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Electronic address:

Background: Laparoscopic donor nephrectomy (LDN) is considered the gold standard for live donor nephrectomies owing to lesser pain, shorter hospitalization, and earlier return to normal activities, yet it remains a technically challenging surgery. Repetition of a highly skilled task such as LDN should lead to improved performance reflected in shorter surgery times and a decrease in adverse events.

Methods: The records of over 2524 LDNs from February 2004 to June 2019 were evaluated for duration of surgery (from incision time to clamping of the renal artery) and occurrence of complications. Read More

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November 2020

Treatment of Chylous Ascites with Peritoneovenous Shunt (Denver Shunt) following Retroperitoneal Lymph Node Dissection in Patients with Urological Malignancies: Update of Efficacy and Predictors of Complications.

J Urol 2020 10 5;204(4):818-823. Epub 2020 May 5.

Interventional Radiology Service, Department of Radiology, New York, New York.

Purpose: We investigated the efficacy and analyzed the complication risk factors of peritoneovenous shunt in treating refractory chylous ascites following retroperitoneal lymph node dissection in patients with urological malignancies.

Materials And Methods: From April 2001 to March 2019 all patients with refractory chylous ascites after retroperitoneal lymph node dissection treated with peritoneovenous shunt were reviewed. Demographic characteristics, technical success, efficacy, patency period and complications were studied. Read More

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October 2020

Chylous ascites following a right robotic assissted laparoscopic partial nephrectomy.

Urol Case Rep 2020 Sep 16;32:101207. Epub 2020 Apr 16.

Division of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA, USA.

Chylous ascites (CA) is a known complication of retroperitoneal surgery. We are reporting the case of a 65-year-old male who underwent a robotic assisted laparoscopic (RAL) partial nephrectomy for a renal mass and subsequently developed CA. He was successfully treated with a low-fat diet and maintenance of a surgical drain. Read More

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September 2020

The Use of Indocyanin Green for Peroperative Diagnostic of Chylous Ascites and Autologous Tissue Glue (Vivostat) for the Treatment.

Klin Onkol 2020 ;33(2):145-149

Background: Chylous ascites or chyloperitoneum can be caused by peroperative injury of the lymphatic pathways; the lymph is accumulated in the abdominal cavity. The incidence of chylous ascites varies according to the type of surgery and the extent of the lymphadenectomy. The first choice of treatment is a conservative procedure - total parenteral nutrition or a strict low-fat diet. Read More

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January 2021

Contemporary lymphatic interventions for post-operative lymphatic leaks.

Transl Androl Urol 2020 Jan;9(Suppl 1):S104-S113

Department of Diagnostic Imaging and Interventional Radiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.

Post-operative lymphatic injuries are uncommon but increase morbidity and mortality in vulnerable patient populations. Post-surgical lymphatic leaks are most commonly a consequence of radical neck dissection, esophagectomy, and lung cancer resections or retroperitoneal surgeries such as radical nephrectomy and lymphadenectomy. Injury may occur anywhere along the lymphatic chains with most serious leaks occurring along the axial skeleton between the inguinal region and the left venous angle. Read More

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January 2020

Risk Factors For Chyle Leak After Esophagectomy.

J Ayub Med Coll Abbottabad 2019 Oct-Dec;31(4):506-511

Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.

Background: Chylothorax is an uncommon (3-8% risk) but potentially fatal complication of esophagectomy with poorly understood risk factors. It has a high morbidity due to loss of fluids, electrolytes, and other nutrients, loss of lymphocytes and immune dysfunction.

Methods: Retrospective chart review of adult patients who underwent esophagectomy between 2009 and 2016 was performed. Read More

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Steroids as a possible effective therapy in the management of large isolated chylopericardium following open heart surgery.

Cardiol Young 2019 Dec;29(12):1426-1431

Division of Cardiology, Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Background: Chylopericardium is the collection of lymph fluid inside the pericardial cavity. The incidence of chylopericardium is very low, as this diagnosis is rarely reported following cardiac procedures in children. While some reports were published worldwide on isolated chylopericardium after cardiac surgeries for diverse reasons, it has never been reported after repair for partial anomalous pulmonary venous return. Read More

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December 2019

First Case of Chylous Ascites after Laparoscopic Myomectomy: A Case Report with a Literature Review.

Medicina (Kaunas) 2019 Sep 23;55(10). Epub 2019 Sep 23.

Department of General and Clinical pathology, Forensic Medicine and Deontology, Medical University Varna, 9002 Varna, Bulgaria.

: Chylous ascites is a rare form of ascites characterized by milk-like peritoneal fluid, rich in triglycerides. Clinical signs and symptoms include abdominal distention, pain, nausea, and vomiting. In gynecology, the most common cause for its occurrence is lymph dissection leading to impairment of major lymphatic vessels. Read More

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September 2019

Clinical approach and review of causes of a chylothorax.

Respir Med 2019 10 22;157:7-13. Epub 2019 Aug 22.

University of Florida College of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Gainesville, FL, USA. Electronic address:

A chylothorax, also known as chylous pleural effusion, is an uncommon cause of pleural effusion with a wide differential diagnosis characterized by the accumulation of bacteriostatic chyle in the pleural space. The pleural fluid will have either or both triglycerides >110 mg/dL and the presence of chylomicrons. It may be encountered following a surgical intervention, usually in the chest, or underlying disease process. Read More

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October 2019

Cervical Debranching in the Endovascular Era: A Single Centre Experience.

Eur J Vasc Endovasc Surg 2019 Jul 14;58(1):34-40. Epub 2019 Jun 14.

Department of Vascular Medicine, German Aortic Centre Hamburg, University Heart Centre, Hamburg, Germany; Department of Vascular Surgery, University Hospital of Ludwig-Maximilian University Munich, Munich, Germany. Electronic address:

Objective/background: Debranching of the supra-aortic arteries is a common practice either as part of a hybrid treatment of aortic arch pathology or owing to arterial occlusive disease. Results of the debranching techniques have not been reported frequently.

Methods: This was a retrospective single centre study of all consecutive patients with cervical debranching procedures as part of hybrid aortic arch repair. Read More

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Conservative management of chylous ascites after oncological surgery for peripheral neuroblastic tumors in pediatric patients.

Lymphology 2019 ;52(1):25-34

DINOGMI, University of Genoa, Genoa, Italy.

Chylous ascites may complicate the postoperative course of abdominal surgery mainly due to the iatrogenic disruption of the lymphatic channels during extensive retroperitoneal dissection. Sparse data are available regarding treatment; however, in many cases a recommended first-line treatment approach is by way of enteral feeding, consisting of a formula high in medium-chain triglycerides (MCTs) together with a complete total parenteral nutrition teamed with somatostatin (or an equivalent). Nonetheless, the ligation of chylous fistulae, together with the application of Fibrin glue, as well as the creation of peritoneal-venous shunts have also been documented. Read More

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Spontaneous cervical chyle fistula: A case report.

Am J Otolaryngol 2019 Jul - Aug;40(4):598-600. Epub 2019 Apr 2.

Cleveland Clinic, Head and Neck Institute, Cleveland, OH, USA. Electronic address:

Background: Cervical chylous fistulae are rare complications usually occurring from iatrogenic injury to the thoracic duct. There have been no reported cases of spontaneous chyle leaks in surgical naïve necks.

Methods: Case report. Read More

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December 2019

Yellow nail syndrome resulting from cardiac mitral valve replacement.

J Cardiothorac Surg 2019 Apr 11;14(1):72. Epub 2019 Apr 11.

Department in cardiac surgery hospital of Damascus university, Damascus, Syria.

Background: Yellow nail syndrome is a rare disease with unknown etiology, Attributed to functional anomalies or disturbance in lymphatic drainage. This condition is characterized by triad of nail discoloration, respiratory or intrathoracic manifestations and lymphedema.

Case Presentation: Twenty days after mitral valve replacement for severe rheumatic mitral valve stenosis, 39 years old woman presented with face tenderness and hearing problems besides stuffy and clogged nose and underwent routin rhinosinusitis therapy. Read More

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A Case Report of Chyloretroperitoneum Post Living-Donor Transplantation.

Urol Int 2020 20;104(1-2):160-162. Epub 2019 Feb 20.

Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.

Chyloretroperitoneum is a rare complication of urological surgery. Here we report a case of chyloretroperitoneum that occurred in a 28-year-old man post living-donor transplantation. Twenty-nine days post transplantation, perirenal fluid collection and hydronephrosis were detected and percutaneous drainage was performed. Read More

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February 2021

Chylous Ascites: Complication of Laparoscopic Donor Nephrectomy. Case Report and Review of Literature.

Transplantation 2019 04;103(4):e74-e78

Department of Renal Transplant Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background: Chylous ascites (CA) is an extremely rare complication after laparoscopic donor nephrectomy (LDN). It can increase the hospital stay, morbidity in postoperative period and thus negating the benefits of laparoscopic surgery. Most of the cases were managed conservatively, but surgical intervention may be occasionally required. Read More

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Yellow nail syndrome with chylothorax after coronary artery bypass grafting.

J Cardiothorac Surg 2018 Sep 11;13(1):93. Epub 2018 Sep 11.

Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA, 94305, USA.

Background: Yellow nail syndrome is a rare condition considered secondary to functional anomalies of lymphatic drainage. Yellow nail syndrome is diagnosed through the triad of intrathoracic findings (30% being pleural effusions), nail discoloration, and lymphedema, with any two features sufficient for diagnosis. We report the second case of post-operative yellow nail syndrome. Read More

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September 2018

Early chest tube removal after thoracoscopic lobectomy with the aid of an additional thin tube: a prospective multi-institutional study.

Gen Thorac Cardiovasc Surg 2018 Dec 21;66(12):723-730. Epub 2018 Aug 21.

Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.

Objectives: There is no evidence concerning the appropriate drainage volume for indicating chest tube removal after pulmonary lobectomy. A prospective multi-institutional cohort study was designed to elucidate the safety of early chest tube removal after thoracoscopic lobectomy.

Methods: Between April 2009 and November 2011, 310 patients with suspected or histologically documented lung cancer were screened. Read More

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December 2018

Comparison of postoperative chylothorax in infants and children with trisomy 21 and without dysmorphic syndrome: Is there a difference in clinical outcome?

J Pediatr Surg 2019 Jul 6;54(7):1298-1302. Epub 2018 Jul 6.

Department of Neonatology and Pediatric Intensive Care, University Children's Hospital Zurich, Children's Research Center Division, Zurich, Switzerland. Electronic address:

Introduction: Children with trisomy 21 are prone to postoperative chylothorax, caused by malformation of the lymphatic system, after cardiac surgery. The clinical course of patients diagnosed with postoperative chylothorax and trisomy 21 was compared to that of patients without dysmorphic syndromes. Additionally, differences between the groups in composition, amount, and duration of chyle were analyzed to better understand chylothorax in patients with trisomy 21. Read More

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Real time indocyanin green near infrared lymphangiography for the reduction of drainage volume after neck dissection.

Oral Oncol 2018 03 20;78:52-55. Epub 2018 Jan 20.

University of Hong Kong Li Ka Shing Faculty of Medicine, Hong Kong Special Administrative Region.

Background: To investigate the role of indocyanine green (ICG) lymphangiography in the reduction of drainage after neck dissection.

Methods: Patients with oral cavity squamous cell carcinoma were randomized into Group A (study group) and Group B (control). In the study group, upon the completion of neck dissection, a total of 2. Read More

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Successful salvage for the intractable massive chylous leakage in a cirrhotic patient: A case report and literature review.

Medicine (Baltimore) 2017 Dec;96(49):e9103

Department of Surgery, Chang Gung Memorial Hospital, Linkou, Taoyuan Department of Otolaryngology-Head and Neck Surgery Center of Excellence for Chang Gung Research Datalink, Chang Gung Memorial Hospital, Chiayi Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, Taoyuan Division of Plastic and Reconstructive Surgery, Department of Surgery, China Medical University Hospital School of medicine, College of Medicine, China Medical University, Taichung Institute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan, Taiwan.

Rationale: Iatrogenic chylous leakage (CL) is a rare but potentially life-threatening complication after neck surgery. In cirrhotic patient, the massive CL is even more intractable and extremely dangerous due to portal hypertension.

Patients Concerns: A 54-year-old liver cirrhotic patient had milky fluid leakage from left neck drainage tube after neck dissection surgery and hypopharyngeal cancer ablation. Read More

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December 2017

Laparoscopic Retroperitoneal Lymph Node Dissection as a Safe Procedure for Postchemotherapy Residual Mass in Testicular Cancer.

J Laparoendosc Adv Surg Tech A 2018 Feb 7;28(2):168-173. Epub 2017 Dec 7.

4 Department of Urology, Faculdade de Medicina do ABC, Santo André, SP, Brazil .

Background: To evaluate the feasibility, clinical and perioperative outcomes of laparoscopic retroperitoneal lymph node dissection (L-RPLND) in the management of patients with germ cell tumors (GCT) and residual post-chemotherapy mass.

Methods: We report our experience of 25 patients treated with L-RPLND between 2008 and 2015. All 25 patients were diagnosed with GCT by primary pathological evaluation of the specimens after orchiectomy. Read More

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February 2018