scholarly journals Chyloma: A Manifestation of Chyle Leak Six Months After Neck Dissection

Cureus ◽  
2021 ◽  
Author(s):  
Patricia Li-Min Tay ◽  
Siu Cheng Loke ◽  
Teresa Hui Xian Ng ◽  
Ming Yann Lim ◽  
Hao Li
Keyword(s):  
Neck Dissection ◽  
Chyle Leak

scholarly journals Management of chyle leak in right side neck dissection: a rare case and review of literature (a case report)

2021 ◽  
Vol 40 ◽  
Author(s):  
Rahul Deshmukh ◽  
Purva Kulkarni ◽  
Umesh Bhutekar ◽  
Atul Kala ◽  
Shivam Richhariya ◽  
...  
Keyword(s):  
Case Report ◽  
Neck Dissection ◽  
Rare Case ◽  
Review Of Literature ◽  
Chyle Leak

Negative-Pressure Vacuum Therapy for High-Output Chyle Leak Following Neck Dissection

2020 ◽  
Vol 15 (5) ◽  
pp. 481-483
Author(s):  
Guy Pines ◽  
Liron Malka Yosef ◽  
Li Or Lazar ◽  
Ilan Bar ◽  
Doron Schindel
Keyword(s):  
Effective Treatment ◽  
Neck Dissection ◽  
Negative Pressure ◽  
Vacuum Therapy ◽  
High Morbidity ◽  
Chyle Leak ◽  
Surgical Interventions ◽  
Vac Therapy ◽  
Chyle Fistula ◽  
High Output

Chyle fistula is a challenging complication following neck dissection carrying a high morbidity and mortality rate. Herein we present a challenging case of successful management of high-output left-sided cervical chyle fistula with negative-pressure vacuum (VAC) therapy in a case where all conservative treatments failed. A 40-year-old man with lymphoma and supraglottic carcinoma underwent endoscopic resection and bilateral neck dissections. He developed high-output chyle fistula, nonresponsive to conservative treatments. Double-layered Vicryl mesh was placed between the sponge and the jugular vein to prevent vascular injury. Immediately after initiation of the VAC therapy, the output decreased, and completely stopped after 3 days. The VAC therapy was continued for additional 5 days to ensure complete seal of the fistula by granulation tissue, by which time the wound was primarily closed. VAC therapy seems to be a safe and effective treatment for high-output cervical chyle fistula following neck dissection, avoiding complex surgical interventions. Thoracic surgeons should be aware of this low-morbidity and potentially effective treatment modality for this challenging complication.

scholarly journals Management of Chyle Leak in the Neck Following Thyroid Cancer Surgery: A Single Center Experience

2015 ◽  
Vol 7 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Deepak Thomas Abraham ◽  
Anish Cherian ◽  
Mazhuvanchary Jacob Paul
Keyword(s):  
Thyroid Cancer ◽  
Neck Dissection ◽  
Thoracic Duct ◽  
Cancer Surgery ◽  
Safe Procedure ◽  
Single Center ◽  
Chyle Leak ◽  
Single Center Experience ◽  
Thoracic Duct Injury ◽  
Combination Of Methods

ABSTRACT Introduction Surgery for thyroid cancers often necessitates a neck dissection. This is usually a safe procedure, but can be associated with complications. Chyle leak is one such complication, fortunately rare. There is a dearth of literature with regard to the management of chyle leak in the neck. We present a single center experience in the management of chyle leak in the neck, to improve the understanding of its management. Materials and methods A retrospective analysis of patients with thyroid cancer, managed between January 1st 2005 and December 31st 2011, in a single institution was performed. Among these, patients with chyle leak were identified. All pertinent data collected and results analyzed using STATA (v10). Results Three hundred and seventy-three/eight hundred and twenty-one (45.4%) patients surgically managed for thyroid cancer underwent a neck dissection. Thoracic duct injury was recog- nized and managed intraoperatively in 20/373 (5.4%) patients. The leak was prevented in the majority (66.6%) of patients in whom a combination of methods were employed. 25/373 (6.7%) patients were diagnosed and managed for chyle leak postoperatively. Seven patients required re-exploration. This included patients with low output chyle leaks who may have settled in a week to 10 days with conservative management. A combination of techniques was successful in the majority (71.4%). The remaining patients were successfully managed conservatively. Conclusion We conclude that using a combination of methods to manage thoracic duct injury may be better than using a single modality alone. Early re-exploration was more economical and acceptable for a subset of our patients, as they come from long distances at personal cost. How to cite this article Cherian a, Ramakant P, Paul MJ, Abraham DT. Management of Chyle Leak in the Neck Following Thyroid Cancer Surgery: A Single Center Experience. World J Endoc Surg 2015;7(1):6-9.

scholarly journals Tetracycline Sclerotherapy in the Management of Chyle Leak

2015 ◽  
Vol 6 (1) ◽  
pp. 14-16
Author(s):  
Madhumati Singh ◽  
S Vijayanand ◽  
B Amit ◽  
Ragesh Raman ◽  
R Narahari
Keyword(s):  
Neck Dissection ◽  
Treatment Modalities ◽  
Significant Morbidity ◽  
Chyle Leak ◽  
Chylous Fistula

ABSTRACT Chyle leak following neck dissection is a rare but recognized complication with significant morbidity. The timing, indications and treatment modalities of chylous fistula remain controversial. Sclerotherapy using tetracycline is not a much acclaimed form of treatment in the management of chylous fistula. We report a case of postoperative chylous leak successfully managed by injection of tetracycline into the supraclavicular wound bed. How to cite this article Singh M, Vijayanand S, Amit B, Raman R, Narahari R. Tetracycline Sclerotherapy in the Management of Chyle Leak. J Health Sci Res 2015;6(1):14-16.

scholarly journals Persistent chyle leak following radical neck dissection: a solution that can be the solution

2005 ◽  
Vol 87 (5) ◽  
pp. 379-379 ◽  
Author(s):  
John C Muthusami ◽  
John P Raj ◽  
D Gladwin ◽  
Pranay Gaikwad ◽  
Shalom Sylvester
Keyword(s):  
Neck Dissection ◽  
Radical Neck Dissection ◽  
Chyle Leak

Lymph or Chyle Leak After Neck Dissection in Patients With Thyroid Carcinoma: Results of a Study on 1724 Patients

2021 ◽  
pp. 000313482098172
Author(s):  
Xi Wang ◽  
Shunlan Wang ◽  
Chunqiao Li ◽  
Yan Ruan ◽  
Yin Li ◽  
...  
Keyword(s):  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Diet Therapy ◽  
Cancer Center ◽  
Chyle Leak ◽  
Node Metastasis ◽  
Low Fat Diet ◽  
Lymphatic Duct ◽  
Prevention And Treatment ◽  
Pressure Dressing

Background To discuss the prevention and treatment of lymph or chyle leak following neck dissection in patients with thyroid carcinoma. Methods A total of 1724 patients with thyroid carcinoma received neck dissection in the Sun Yat-sen University Cancer Center between November 2009 and October 2014. The incidence and management of leak were analyzed. Results A total of 92 (5.34%) patients developed leak, 28 (1.62%) developed lymph leak, 59 (3.42%) developed chyle leak, and 5 (.29%) developed chylothorax. Medical management to stop postoperative lymph or chyle leak included pressure dressing, reoperation, fasting, or low-fat diet therapy. Conclusions Lymph or chyle leak may occur in thyroid carcinoma patients who underwent neck dissection. Clinicians should alert to leak when there were IV + VI region lymph node metastasis and should become aware of chylothorax after pressure dressing. A careful identification and ligation of lymphatic duct may be an effective way to avoid lymph or chyle leak.

Chyle Leak Following Neck Dissection

2016 ◽  
Vol 27 (2) ◽  
pp. e115-e118 ◽  
Author(s):  
Francesca De Felice ◽  
Daniela Musio ◽  
Angela Musella ◽  
Mario Tombolini ◽  
Vincenzo Tombolini
Keyword(s):  
Neck Dissection ◽  
Chyle Leak
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