MANAGEMENT OF CHYLE LEAK AFTER RETROPERITONEAL SURGERIES: CAN COLLAGEN SEALANT PATCH BE AN OPTION? - A CASE REPORT.
Background: Chyle leak (CL) after retroperitoneal surgeries (RPS) is an uncommon and unwelcomed complication. Usually, it results due to the injury of major lymphatics during lymphadenectomy. CL is associated with adverse physical and psychological consequences and its management strategy also should focused on the patient's nutrition and psychological support. Conservative treatment (CT) is the initial treatment with good outcome, however selected patients require surgical interventions when CL does not stop with CT. Case report: 23 years old female who underwent radical nephrectomy with retroperitoneal lymph node dissection (RPLND) for local recurrence after initial partial nephrectomy, developed CL, which was refractory to conservative management. After futile available conservative options, patient was explored and CL nally stopped after suturing a collagen sealant patch (CSP) on the friable leak site. Conclusion: Collagen sealant patch is an effective alternative in surgical armament to control CL in unfavorable circumstances.