Management of retroperitoneal chylous leakage

Marc M. Dehart, William C. Lauerman, Arthur H. Conely, Richard H. Roettger, James L. West, James E. Cain

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

Lymphatic complications arc uncommon after spinal surgery, Postsurgical after spinal surgery postsurgical of lymph may result in chyloms, chylothorax, chylous ascites, or chyloretro- peritoneum. Recommended treatment of chylorethorax at chylous ascites includes drainage, and a Ipw-faf diet using madium-chaln triglycerido ar total parenteral nu- (rition. The unly reported case of cfiylorutruporitcmieuiti concluded with a recommendation for retroperitoneal drainage. The authors present a series of there patients who underwent anterior spinal procedures complicated by retroperitoneal lymphatic Injury. All three were trested without retroperitoneal drains and at follow-up, none- has shown any adverse squealer from this method of treatment, The authors disagree with past recommandations for drainage of the retroperitoneal space because this may prolong drainage and depletenutrition.

Original languageEnglish (US)
Pages (from-to)716-718
Number of pages3
JournalSpine
Volume19
Issue number6
StatePublished - Mar 1994
Externally publishedYes

Keywords

  • Anterior approach
  • Chyle
  • Complications
  • Drainage chylous
  • Fusion
  • Lymphatic
  • Retroperiloneum

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Clinical Neurology

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