Lymphocoele /lymphorrhoea following Radical lymph node dissection as a part of cancer surgery may be respond to administration of systemic octreotide ffor7-10days. Biopsy of groin node is seldom followed by lymphocoele if only a part of the nodal mass is removed and the main lympatic trunk near the femoral canal preseved

That was my experience too till I removed a large benign lymph node from Femoral triangle and the lymphocoele was extremely difficult to treat. 5 weeks later it turned into a well contained cyst which was removed and patient has remained since

Perfect haemostasis and instead of a micropore dressing please apply a little pressure dessing using a pad .As one recommends early mobilization some of these lymphatic channels do not get sealed off.

All proximal and distal lymphatic ducts should be ligated with absorbable thread, at the first operation. Niether monopolar and bipolar cautery, nor Harmonic scapel reliably provide lymphostasis of medium to large size lymphatic vessels.

Obviously it is difficult to define lymphatic ducts. I ligate all tissue strands adhered to lymphatic structures, circumferentially.

I used to encounter this problem in Trendelenburg procedure, where the junction used to be surrounded with lymph nodes, in an obese patient. Limited the extent of dissection with careful ligation of the tissues. Of late, I have not encountered this problem.

The best way to prevent lymphorrea is to ligate all tissues.