Reducing bed rest following inguinal lymph node dissection in melanoma patients.

Heidema, R. (Rianna) (2016) Reducing bed rest following inguinal lymph node dissection in melanoma patients. thesis, Medicine.

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Abstract

Aim: Inguinal lymph node dissection (ILND) in stage III melanoma is accompanied with high morbidity. During time bed rest protocols have been reduced. The aim of the study was to evaluate the effect of reduction of bed rest on wound complications. Methods: Between 1989 and 2014 a total of 245 patients who underwent an ILND were studied. Four chronological groups were formed respectively: group A: ≥ 7 days with Bohler Braun splint, group B: ≥ 7 days without splint, group C: 5 or 6 days and group D: 1-4 days of bed rest. Multivariate regression was performed to identify possible risk factors and to evaluate the effect of early mobilization after ILND in the UMCG. Results: In 50.2% of the patients one or more wound complications occurred, 27.3% wound infection, 13.5% wound necrosis, 21.2% seroma and 5.3% a haematoma. Respectively in group A-D wound complications occurred in 43%, 58%, 44% and 58% of the cases. Both age > 55 years and BMI 25-30 were associated with a complication. Reducing bed rest did not significantly affect the number of wound complications. Conclusion: Age > 55 years and BMI 25-30 are independently associated with the occurrence of postoperative wound complications. Reducing bed rest does not significantly increase the overall wound complication rate.

Item Type:	Thesis (Thesis)
Supervisor name:	Faculty supervisor: and Leeuwen, dr. B.L. van (Surgical Oncologist)
Supervisor name:	Local supervisor: and Faut, drs. M. (Medical Researcher) and University Medical Centre Groningen, the Netherlands. and Department of surgical oncology
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 10:58
Last Modified:	25 Jun 2020 10:58
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/1871

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