Lymphaticovenous shunt for the treatment of chylous reflux by subcutaneous vein grafts with valves between megalymphatics and the great saphenous vein: A case report
Identifieur interne : 003275 ( Istex/Corpus ); précédent : 003274; suivant : 003276Lymphaticovenous shunt for the treatment of chylous reflux by subcutaneous vein grafts with valves between megalymphatics and the great saphenous vein: A case report
Auteurs : Jiro Maegawa ; Taro Mikami ; Yasushi Yamamoto ; Kouichi Hirotomi ; Shinji KobayashiSource :
- Microsurgery [ 0738-1085 ] ; 2010-10.
Abstract
Chylous reflux is a rare disorder in which chyle flows antidromically from its normal route to the extremities, thorax, abdominal cavity, or other parts of the body. We present a case of chylous reflux with megalymphatics in a 28‐year‐old boy who presented chylorrhea in the foot, leg, and external genitalia, lymphedema, and hemangioma in the affected limb. Lymphaticovenous shunts using subcutaneous vein grafts with valves were applied to the patient for treatment of repeated chylorrhea. After surgery, the patient has not complained of chylorrhea and been freed from conservative physiotherapy such as bandaging or application of compression stockings for lymphedema for two years. A subcutaneous vein graft with valves may be considered a useful method as a shunt between incompetent and dilated lymphatics and veins instead of a saphenous vein graft in the treatment of chylous reflux in lower extremities. We discuss these treatments based on the literature about chylous disorders. © 2010 Wiley‐Liss, Inc. Microsurgery 30:553–556, 2010.
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DOI: 10.1002/micr.20795
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xml:id="af1" countryCode="JP" type="organization"><unparsedAffiliation>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3‐9 Fukuura, Kanazawa‐ku, Yokohama 236‐0004, Japan</unparsedAffiliation></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>Chylous reflux is a rare disorder in which chyle flows antidromically from its normal route to the extremities, thorax, abdominal cavity, or other parts of the body. We present a case of chylous reflux with megalymphatics in a 28‐year‐old boy who presented chylorrhea in the foot, leg, and external genitalia, lymphedema, and hemangioma in the affected limb. Lymphaticovenous shunts using subcutaneous vein grafts with valves were applied to the patient for treatment of repeated chylorrhea. After surgery, the patient has not complained of chylorrhea and been freed from conservative physiotherapy such as bandaging or application of compression stockings for lymphedema for two years. A subcutaneous vein graft with valves may be considered a useful method as a shunt between incompetent and dilated lymphatics and veins instead of a saphenous vein graft in the treatment of chylous reflux in lower extremities. We discuss these treatments based on the literature about chylous disorders. © 2010 Wiley‐Liss, Inc. Microsurgery 30:553–556, 2010.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Lymphaticovenous shunt for the treatment of chylous reflux by subcutaneous vein grafts with valves between megalymphatics and the great saphenous vein: A case report</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Treatment of Chylous Reflux by Subcutaneous Vein Graft</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Lymphaticovenous shunt for the treatment of chylous reflux by subcutaneous vein grafts with valves between megalymphatics and the great saphenous vein: A case report</title></titleInfo><name type="personal"><namePart type="given">Jiro</namePart><namePart type="family">Maegawa</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3‐9 Fukuura, Kanazawa‐ku, Yokohama 236‐0004, Japan</affiliation><affiliation>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3‐9 Fukuura, Kanazawa‐ku, Yokohama 236‐0004, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Taro</namePart><namePart type="family">Mikami</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3‐9 Fukuura, Kanazawa‐ku, Yokohama 236‐0004, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Yasushi</namePart><namePart type="family">Yamamoto</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3‐9 Fukuura, Kanazawa‐ku, Yokohama 236‐0004, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kouichi</namePart><namePart type="family">Hirotomi</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3‐9 Fukuura, Kanazawa‐ku, Yokohama 236‐0004, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Shinji</namePart><namePart type="family">Kobayashi</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, 3‐9 Fukuura, Kanazawa‐ku, Yokohama 236‐0004, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case-report" displayLabel="caseStudy"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2010-10</dateIssued><dateCaptured encoding="w3cdtf">2010-01-25</dateCaptured><dateValid encoding="w3cdtf">2010-03-30</dateValid><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">5</extent><extent unit="references">8</extent><extent unit="words">1971</extent></physicalDescription><abstract lang="en">Chylous reflux is a rare disorder in which chyle flows antidromically from its normal route to the extremities, thorax, abdominal cavity, or other parts of the body. We present a case of chylous reflux with megalymphatics in a 28‐year‐old boy who presented chylorrhea in the foot, leg, and external genitalia, lymphedema, and hemangioma in the affected limb. Lymphaticovenous shunts using subcutaneous vein grafts with valves were applied to the patient for treatment of repeated chylorrhea. After surgery, the patient has not complained of chylorrhea and been freed from conservative physiotherapy such as bandaging or application of compression stockings for lymphedema for two years. A subcutaneous vein graft with valves may be considered a useful method as a shunt between incompetent and dilated lymphatics and veins instead of a saphenous vein graft in the treatment of chylous reflux in lower extremities. We discuss these treatments based on the literature about chylous disorders. © 2010 Wiley‐Liss, Inc. Microsurgery 30:553–556, 2010.</abstract><relatedItem type="host"><titleInfo><title>Microsurgery</title></titleInfo><titleInfo type="abbreviated"><title>Microsurgery</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Case Report</topic></subject><identifier type="ISSN">0738-1085</identifier><identifier type="eISSN">1098-2752</identifier><identifier type="DOI">10.1002/(ISSN)1098-2752</identifier><identifier type="PublisherID">MICR</identifier><part><date>2010</date><detail type="volume"><caption>vol.</caption><number>30</number></detail><detail type="issue"><caption>no.</caption><number>7</number></detail><extent unit="pages"><start>553</start><end>556</end><total>4</total></extent></part></relatedItem><identifier type="istex">6C6224B79F52DD12E050DF9D74AF1180BBCF5709</identifier><identifier type="DOI">10.1002/micr.20795</identifier><identifier type="ArticleID">MICR20795</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2010 Wiley‐Liss, Inc.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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