Rapid excision of massive localized lymphedema of the male genitalia with vessel sealing device

Jordan A. Siegel, Lee Zhao, Isamu Tachibana, Scott Carlson, Timothy J. Tausch, Alexandra K. Klein, Alex Vanni, Thomas Rozanski, Allen F. Morey

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction: To present a series of patients who underwent surgical treatment for massive localized lymphedema (MLL) of the male genitalia and explore the utility of the LigaSure hemostatic vessel sealing device (VSD) for resection of advanced cases. Materials and methods: Although conservative and microsurgical treatments have been reported, MLL of the male genitalia requires open surgical resection with primary reconstruction. We reviewed our prospectively maintained database of all lymphedema excisions performed between January 2007 and December 2014 comparing resection with Bovie electrocautery to resection with the LigaSure VSD. Our analysis focused on any significant differences in rate of resection, estimated blood loss (EBL), and recurrence. Results: Nineteen patients with MLL of the male genitalia underwent excision with either LigaSure (8 patients) or conventional Bovie electrocautery (11 patients). Rate of resection was significantly faster with LigaSure compared to Bovie (33.74 g/min versus 5.32 g/min, p = .035). Additionally, estimated EBL per gram of tissue resected was decreased in the LigaSure group (0.41 mL/g versus 0.17 mL/g, p = .057). Two of the 11 Bovie patients (18%) had recurrence of lymphedema requiring repeat resection, while none of the LigaSure patients developed recurrence. Conclusions: Resection of genital lymphedema using the LigaSure device offers promising results in managing advanced MLL of the male genitalia with the potential for faster resections, less EBL per tissue resected, and a lower rate of recurrence.

Original languageEnglish (US)
Pages (from-to)8291-8295
Number of pages5
JournalCanadian Journal of Urology
Volume23
Issue number3
StatePublished - 2016

Fingerprint

Male Genitalia
Lymphedema
Equipment and Supplies
Recurrence
Electrocoagulation
Hemostatics
Databases

Keywords

  • Massive localized lymphedema
  • Obesity
  • Scrotal lymphedema
  • Vessel sealing device

ASJC Scopus subject areas

  • Urology

Cite this

Siegel, J. A., Zhao, L., Tachibana, I., Carlson, S., Tausch, T. J., Klein, A. K., ... Morey, A. F. (2016). Rapid excision of massive localized lymphedema of the male genitalia with vessel sealing device. Canadian Journal of Urology, 23(3), 8291-8295.

Rapid excision of massive localized lymphedema of the male genitalia with vessel sealing device. / Siegel, Jordan A.; Zhao, Lee; Tachibana, Isamu; Carlson, Scott; Tausch, Timothy J.; Klein, Alexandra K.; Vanni, Alex; Rozanski, Thomas; Morey, Allen F.

In: Canadian Journal of Urology, Vol. 23, No. 3, 2016, p. 8291-8295.

Research output: Contribution to journalArticle

Siegel, JA, Zhao, L, Tachibana, I, Carlson, S, Tausch, TJ, Klein, AK, Vanni, A, Rozanski, T & Morey, AF 2016, 'Rapid excision of massive localized lymphedema of the male genitalia with vessel sealing device', Canadian Journal of Urology, vol. 23, no. 3, pp. 8291-8295.
Siegel JA, Zhao L, Tachibana I, Carlson S, Tausch TJ, Klein AK et al. Rapid excision of massive localized lymphedema of the male genitalia with vessel sealing device. Canadian Journal of Urology. 2016;23(3):8291-8295.
Siegel, Jordan A. ; Zhao, Lee ; Tachibana, Isamu ; Carlson, Scott ; Tausch, Timothy J. ; Klein, Alexandra K. ; Vanni, Alex ; Rozanski, Thomas ; Morey, Allen F. / Rapid excision of massive localized lymphedema of the male genitalia with vessel sealing device. In: Canadian Journal of Urology. 2016 ; Vol. 23, No. 3. pp. 8291-8295.
@article{16521859a0cc449d9c53eea46698ccb3,
title = "Rapid excision of massive localized lymphedema of the male genitalia with vessel sealing device",
abstract = "Introduction: To present a series of patients who underwent surgical treatment for massive localized lymphedema (MLL) of the male genitalia and explore the utility of the LigaSure hemostatic vessel sealing device (VSD) for resection of advanced cases. Materials and methods: Although conservative and microsurgical treatments have been reported, MLL of the male genitalia requires open surgical resection with primary reconstruction. We reviewed our prospectively maintained database of all lymphedema excisions performed between January 2007 and December 2014 comparing resection with Bovie electrocautery to resection with the LigaSure VSD. Our analysis focused on any significant differences in rate of resection, estimated blood loss (EBL), and recurrence. Results: Nineteen patients with MLL of the male genitalia underwent excision with either LigaSure (8 patients) or conventional Bovie electrocautery (11 patients). Rate of resection was significantly faster with LigaSure compared to Bovie (33.74 g/min versus 5.32 g/min, p = .035). Additionally, estimated EBL per gram of tissue resected was decreased in the LigaSure group (0.41 mL/g versus 0.17 mL/g, p = .057). Two of the 11 Bovie patients (18{\%}) had recurrence of lymphedema requiring repeat resection, while none of the LigaSure patients developed recurrence. Conclusions: Resection of genital lymphedema using the LigaSure device offers promising results in managing advanced MLL of the male genitalia with the potential for faster resections, less EBL per tissue resected, and a lower rate of recurrence.",
keywords = "Massive localized lymphedema, Obesity, Scrotal lymphedema, Vessel sealing device",
author = "Siegel, {Jordan A.} and Lee Zhao and Isamu Tachibana and Scott Carlson and Tausch, {Timothy J.} and Klein, {Alexandra K.} and Alex Vanni and Thomas Rozanski and Morey, {Allen F.}",
year = "2016",
language = "English (US)",
volume = "23",
pages = "8291--8295",
journal = "The Canadian journal of urology",
issn = "1195-9479",
publisher = "Canadian Journal of Urology",
number = "3",

}

TY - JOUR

T1 - Rapid excision of massive localized lymphedema of the male genitalia with vessel sealing device

AU - Siegel, Jordan A.

AU - Zhao, Lee

AU - Tachibana, Isamu

AU - Carlson, Scott

AU - Tausch, Timothy J.

AU - Klein, Alexandra K.

AU - Vanni, Alex

AU - Rozanski, Thomas

AU - Morey, Allen F.

PY - 2016

Y1 - 2016

N2 - Introduction: To present a series of patients who underwent surgical treatment for massive localized lymphedema (MLL) of the male genitalia and explore the utility of the LigaSure hemostatic vessel sealing device (VSD) for resection of advanced cases. Materials and methods: Although conservative and microsurgical treatments have been reported, MLL of the male genitalia requires open surgical resection with primary reconstruction. We reviewed our prospectively maintained database of all lymphedema excisions performed between January 2007 and December 2014 comparing resection with Bovie electrocautery to resection with the LigaSure VSD. Our analysis focused on any significant differences in rate of resection, estimated blood loss (EBL), and recurrence. Results: Nineteen patients with MLL of the male genitalia underwent excision with either LigaSure (8 patients) or conventional Bovie electrocautery (11 patients). Rate of resection was significantly faster with LigaSure compared to Bovie (33.74 g/min versus 5.32 g/min, p = .035). Additionally, estimated EBL per gram of tissue resected was decreased in the LigaSure group (0.41 mL/g versus 0.17 mL/g, p = .057). Two of the 11 Bovie patients (18%) had recurrence of lymphedema requiring repeat resection, while none of the LigaSure patients developed recurrence. Conclusions: Resection of genital lymphedema using the LigaSure device offers promising results in managing advanced MLL of the male genitalia with the potential for faster resections, less EBL per tissue resected, and a lower rate of recurrence.

AB - Introduction: To present a series of patients who underwent surgical treatment for massive localized lymphedema (MLL) of the male genitalia and explore the utility of the LigaSure hemostatic vessel sealing device (VSD) for resection of advanced cases. Materials and methods: Although conservative and microsurgical treatments have been reported, MLL of the male genitalia requires open surgical resection with primary reconstruction. We reviewed our prospectively maintained database of all lymphedema excisions performed between January 2007 and December 2014 comparing resection with Bovie electrocautery to resection with the LigaSure VSD. Our analysis focused on any significant differences in rate of resection, estimated blood loss (EBL), and recurrence. Results: Nineteen patients with MLL of the male genitalia underwent excision with either LigaSure (8 patients) or conventional Bovie electrocautery (11 patients). Rate of resection was significantly faster with LigaSure compared to Bovie (33.74 g/min versus 5.32 g/min, p = .035). Additionally, estimated EBL per gram of tissue resected was decreased in the LigaSure group (0.41 mL/g versus 0.17 mL/g, p = .057). Two of the 11 Bovie patients (18%) had recurrence of lymphedema requiring repeat resection, while none of the LigaSure patients developed recurrence. Conclusions: Resection of genital lymphedema using the LigaSure device offers promising results in managing advanced MLL of the male genitalia with the potential for faster resections, less EBL per tissue resected, and a lower rate of recurrence.

KW - Massive localized lymphedema

KW - Obesity

KW - Scrotal lymphedema

KW - Vessel sealing device

UR - http://www.scopus.com/inward/record.url?scp=84977540878&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84977540878&partnerID=8YFLogxK

M3 - Article

C2 - 27347623

AN - SCOPUS:84977540878

VL - 23

SP - 8291

EP - 8295

JO - The Canadian journal of urology

JF - The Canadian journal of urology

SN - 1195-9479

IS - 3

ER -