Lymphocoeles may be primary or postoperative.
Primary lymphocoeles present in the groin as complications of developmental lymphatic disease.
Most commonly, lymphocoeles develop secondary to surgery often in the femoral triangle. Less frequently, they present in the subclavian and supraclavicular areas.
Repeated aspirations and the use of pressure dressings usually resolve this condition. The lymphocoele must not be excised. Postoperative types can be avoided by meticulous dissection, minimising the use of cautery, and ligation of lymphatic tributaries.
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