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Persistent Chyle Leak Post Mastectomy with Axillary Clearance- An Experience with Conservative Treatment vs Surgical Management

Author

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  • Ashvirni Gilbeth

    (General Surgery Doctor in Putrajaya Hospital, Wilayah Persekutuan Putrajaya, Malaysia)

Abstract

Chylous fistula, a complication related to thoracic duct injury or its branches, may develop following neck or thoracic abdominal surgery. Chyle is a milky fluid made up of emulsified fats (long chain triglycerides) and lymph derived from the absorption of fats from the small intestine into the lymphatic system. However, chyle leak after mastectomy with axillary clearance is an unusual phenomenon. Seroma formation and chronic lymphoedema of the upper limb are far more common. The reported incidence of chylous fistula after breast cancer surgery is less than 0.5%. It may delay wound healing, extend hospitalization, impair the immune system, and affect the initiation of adjuvant therapy.

Suggested Citation

  • Ashvirni Gilbeth, 2024. "Persistent Chyle Leak Post Mastectomy with Axillary Clearance- An Experience with Conservative Treatment vs Surgical Management," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 55(5), pages 47522-47525, April.
    • Handle: RePEc:abf:journl:v:55:y:2024:i:5:p:47522-47525
    DOI: 10.26717/BJSTR.2024.55.008775
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