TY - JOUR T1 - Does BLOODCARE Powder Prevent Postoperative Chylous Ascites After Lymphadenectomy for Gynecological Malignancies? JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - 1979 LP - 1982 DO - 10.1097/IGC.0000000000001093 VL - 27 IS - 9 AU - Kemal Güngördük AU - Özgü Celikkol Güngördük AU - I. Aykut Ozdemir AU - Mehmet Gokcu AU - Muzaffer Sanci Y1 - 2017/11/01 UR - http://ijgc.bmj.com/content/27/9/1979.abstract N2 - Objective The aim of this study was to evaluate the effect of an intraoperative hemostatic cellulose agent (BLOODCARE powder [Life Line, Brno, Czech Republic]) on reducing the incidence of postoperative chylous ascites (PCA) after complete pelvic and para-aortic lymphadenectomy (PPALN) in patients with gynecological cancers treated with laparotomy.Methods This case control study reviewed 150 patients with gynecological cancer who underwent PPALN. In the study group (n = 75), BLOODCARE powder was applied below the left renal vein and bilateral obturator fossa. In the control group (n = 75), no sealant agent was used after the procedure, such as fibrin glue or a hemostatic cellulose agent.Results The demographic and surgical characteristics of the patients in both groups were similar. Chylous ascites occurred in 9 cases (6%). The incidence of PCA was lower in the study group (1 [1.3%] vs 8 [10.7%]; P = 0.03). Logistic regression analysis indicated that using BLOODCARE powder during the surgery independently protected against the development of PCA.Conclusions Using BLOODCARE powder during retroperitoneal surgery may prevent PCA. This simple, effective agent should be used after PPALN for gynecological cancers. ER -