{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:19:02Z","timestamp":1760145542826,"version":"build-2065373602"},"reference-count":13,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T00:00:00Z","timestamp":1723420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Lymphocele formation is a rare complication after surgical procedures involving the mediastinum. While uncomplicated lymphoceles show high rates of spontaneous closure and are usually treated conservatively, surgical treatment might be required in cases with persistent or recurrent lymphoceles. We present the case of a 53-year-old male with reoccurring cervical swelling after two surgeries of the thoracic aorta. After 1.5 years, the swelling occurred for the first time and appeared for the next 2 years repeatedly without clinical or laboratory signs of infection. A cervical lymphocele was suspected, and the decision for surgical revision was made. Fibrin glue was applied to the potential leakage of the thoracic duct, and the cavity was filled with a free omental flap. This resulted in a complete regression of the swelling.<\/jats:p>","DOI":"10.3390\/jcm13164737","type":"journal-article","created":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T11:23:46Z","timestamp":1723461826000},"page":"4737","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Omentoplasty for Cervical Lymphocele after Aortic Arch Replacement"],"prefix":"10.3390","volume":"13","author":[{"given":"Nora","family":"Hertel","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic-, Transplantation- and Vascular Surgery, Hannover Medical School, 30625 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled","family":"Dastagir","sequence":"additional","affiliation":[{"name":"Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, 30625 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz","family":"Schmelzle","sequence":"additional","affiliation":[{"name":"Department of General and Visceral Surgery, Hannover Medical School, 30625 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Feldbr\u00fcgge","sequence":"additional","affiliation":[{"name":"Department of General and Visceral Surgery, Hannover Medical School, 30625 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5788-974X","authenticated-orcid":false,"given":"Florian","family":"Helms","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic-, Transplantation- and Vascular Surgery, Hannover Medical School, 30625 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter M.","family":"Vogt","sequence":"additional","affiliation":[{"name":"Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, 30625 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2725-9912","authenticated-orcid":false,"given":"Arjang","family":"Ruhparwar","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic-, Transplantation- and Vascular Surgery, Hannover Medical School, 30625 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4226-3004","authenticated-orcid":false,"given":"Aron-Frederik","family":"Popov","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic-, Transplantation- and Vascular Surgery, Hannover Medical School, 30625 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.athoracsur.2017.07.021","article-title":"Treatment of Postsurgical Chylothorax","volume":"105","author":"Reisenauer","year":"2018","journal-title":"Ann. Thorac. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"S104","DOI":"10.21037\/tau.2019.08.15","article-title":"Contemporary lymphatic interventions for post-operative lymphatic leaks","volume":"9","author":"Majdalany","year":"2020","journal-title":"Transl. Androl. Urol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1288\/00005537-199007000-00014","article-title":"The management of chyle fistula","volume":"100","author":"Spiro","year":"1990","journal-title":"Laryngoscope"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/0741-5214(89)90437-0","article-title":"Retroperitoneal lymphocele after abdominal aortic surgery","volume":"10","author":"Garrett","year":"1989","journal-title":"J. Vasc. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.ejcts.2004.09.019","article-title":"VATS thoracic-duct division for aortic surgery-related chylous leakage","volume":"27","author":"Ohtsuka","year":"2005","journal-title":"Eur. J. Cardio-Thorac. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1016\/S0022-5223(94)70172-5","article-title":"Chylothorax and wound lymphocele formation as a complication of myocardial revascularization with the internal thoracic artery","volume":"108","author":"Davies","year":"1994","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1016\/S0022-5223(19)40429-7","article-title":"Postoperative chylothorax. Six cases in 2,500 operations, with a survey of the world literature","volume":"69","author":"Cevese","year":"1975","journal-title":"J. Thorac. Cardiovasc. 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Head Neck Dis."},{"key":"ref_11","first-page":"7342","article-title":"Lymphocele: A clinical analysis of 19 cases","volume":"8","author":"Ge","year":"2015","journal-title":"Int. J. Clin. Exp. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.1016\/j.jpedsurg.2003.08.011","article-title":"Successful management of congenital chyloperitoneum with fibrin glue","volume":"38","author":"Antao","year":"2003","journal-title":"J. Pediatr. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1097\/00005537-199806000-00027","article-title":"Repair of a high-output chylous fistula with a free fat graft","volume":"108","author":"Casler","year":"1998","journal-title":"Laryngoscope"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/16\/4737\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:35:35Z","timestamp":1760110535000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/16\/4737"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,12]]},"references-count":13,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2024,8]]}},"alternative-id":["jcm13164737"],"URL":"https:\/\/doi.org\/10.3390\/jcm13164737","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2024,8,12]]}}}