Cochrane · systematic review · CD007387

Retroperitoneal drainage versus no drainage after pelvic lymphadenectomy for the prevention of lymphocyst formation in women with gynaecological malignancies

Charoenkwan, K, Kietpeerakool, C · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Gynaecological, Neuro-oncology and Orphan Cancer3 versionsAMSTAR 2: not assessed

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.

Questions

current version

GRADE rated

No studies

Included studies

No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 2 · 28.6%High 4 · 57.1%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Retroperitoneal drainage versus no drainage after pelvic lymphadenectomy for gynaecological malignancies

Population: Women with gynaecological malignancies

7 questions

Outcome	Effect	Evidence	Status / GRADE
Short‐term lymphocyst formation: both asymptomatic and symptomatic within 4 weeks after surgery Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy	RR 0.76 [0.04, 13.35]	2 studies · 204 participants	Moderate Downgraded: imprecision
Short‐term lymphocyst formation: symptomatic within 4 weeks after surgery Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy	RR 3.25 [1.26, 8.37]	2 studies · 237 participants	High
Short‐term lymphocyst formation: both asymptomatic and symptomatic at 8 weeks after surgery Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy	RR 0.72 [0.3, 1.71]	2 studies · 180 participants	High
Long‐term lymphocyst formation: both asymptomatic and symptomatic at 12 months after surgery Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy	RR 1.48 [0.89, 2.45]	1 study · 232 participants	High
Long‐term lymphocyst formation: symptomatic at 12 months after surgery Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy	RR 7.12 [0.89, 56.97]	1 study · 232 participants	Low Downgraded: imprecision
Febrile morbidity Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy	RR 1.76 [0.87, 3.55]	4 studies · 571 participants	High
Pelvic infection Retroperitoneal drainage vs no drainage after pelvic lymphadenectomy	RR 0.42 [0.11, 1.62]	4 studies · 571 participants	Moderate Downgraded: imprecision