Postoperative care, evaluation and follow-up
lymphorrhea, postoperative lymphorrhea, upper urinary tract (UUT).Our
LYMPHORRHEA, LEAKAGE
Parenteral nutrition was maintained for 2 days, and then oral fluids were introduced. Semisolids were gradually introduced after passing flatus and in presence of good intestinal sounds. Drains were removed once fluid drainage stopped. Subcutaneous heparin was administered in the arms to decrease the incidence of postoperative lymphorrhea. In case of prolonged leakage, creatinine level was checked to differentiate the urinary leakage and lymphorrhea. After stents removal, abdominal US was performed to evaluate the upper urinary tract (UUT).Our centre routine follow up visits were scheduled monthly/first three months, then every three months/two years and biannually thereafter. Each visit included clinical, laboratory, UUT assessment by abdominal US and diversion-specific evaluation as stomal assessment and continence evaluation. Oncological outcome was assessed by an enhanced abdomino-pelvic CT or MRI after 3 months and biannually thereafter.