THE TREATMENT OF RECURRENT PELVIC LYMPHOCYSTS WITH MARSUPIALIZATION AND FUNCTIONING OMENTAL FLAP

A new treatment for recurrent pelvic lymphocysts is reviewed. Nine wom en with recurrent symptomatic lymphocyst were treated by marsupializat ion of the lymphocyst to the peritoneal cavity and functioning omental flap. The omental flap was dissected off the greater curve of the sto mach maintaining its blood supply from the appropriate gastroepiploic vessels. The flap functioned by absorbing the lymph that previously ac cumulated in the lymphocyst. The efficacy of treatment was accessed bo th clinically and with diagnostic imaging. The pelvic lymphocysts were successfully treated in all 9 cases. There was no significant morbidi ty and the average hospital stay was 7 days. Marsupialization of pelvi c lymphocysts combined with an omental flap is effective, not associat ed with increased morbidity and has a very low recurrence rate.