Antegrade and retrograde lymphatico‐venous anastomosis for cancer‐related lymphedema with lymphatic valve dysfuction and lymphatic varix
Identifieur interne : 001574 ( Istex/Curation ); précédent : 001573; suivant : 001575Antegrade and retrograde lymphatico‐venous anastomosis for cancer‐related lymphedema with lymphatic valve dysfuction and lymphatic varix
Auteurs : Makoto Mihara [Japon] ; Hisako Hara [Japon] ; Takuya Iida [Japon] ; Takeshi Todokoro [Japon] ; Takumi Yamamoto [Japon] ; Mitsunaga Narushima [Japon] ; Kensuke Tashiro [Japon] ; Noriyuki Murai [Japon] ; Isao Koshima [Japon]Source :
- Microsurgery [ 0738-1085 ] ; 2012-10.
Abstract
In healthy people, no retrograde lymph flow occurs because of valves in collecting lymph vessels. However, in secondary lymphedema after lymph node dissection, lymph retention and lymphatic hypertension occurs and valvular dysfunction induces retrograde lymph flow. In this case reported, we focused on retrograde lymph flow and performed retrograde lymphatico‐venous anastomosis (LVA) simultaneously with antegrade LVA. A 67‐year‐old Japanese woman had worsening edema in her right thigh and hip area for 3 years. She had previously undergone extended hysterectomy with lymph node dissection for endometrial cancer 8 years before. Indocyanine green test showed antegrade and retrograde lymph flow. Four LVAs were made in the right medial thigh and right lower abdominal area under local anesthesia. Lymphedema showed rapid improvement within 12 months and compression therapy was not required at 24 months after LVA. Retrograde LVA has a possibility of a more efficacy for secondary lymphedema. © 2012 Wiley Periodicals, Inc. Microsurgery, 2012.
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DOI: 10.1002/micr.22022
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level="a" type="main" xml:lang="en">Antegrade and retrograde lymphatico‐venous anastomosis for cancer‐related lymphedema with lymphatic valve dysfuction and lymphatic varix</title><author><name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name><affiliation wicri:level="1"><mods:affiliation>Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Bunkyo‐ku, Tokyo 113‐8655, Japan</mods:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Bunkyo‐ku, Tokyo 113‐8655</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Department of Plastic and Reconstructive Surgery, University of Tokyo, 7‐3‐1, Hongo, Bunkyo‐ku, Tokyo 113‐8655, Japan</mods:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, University of Tokyo, 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xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Bunkyo‐ku, Tokyo 113‐8655</wicri:regionArea></affiliation></author><author><name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name><affiliation wicri:level="1"><mods:affiliation>Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Bunkyo‐ku, Tokyo 113‐8655, Japan</mods:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Bunkyo‐ku, Tokyo 113‐8655</wicri:regionArea></affiliation></author><author><name sortKey="Tashiro, Kensuke" sort="Tashiro, Kensuke" uniqKey="Tashiro K" first="Kensuke" last="Tashiro">Kensuke Tashiro</name><affiliation wicri:level="1"><mods:affiliation>Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Bunkyo‐ku, Tokyo 113‐8655, Japan</mods:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Bunkyo‐ku, Tokyo 113‐8655</wicri:regionArea></affiliation></author><author><name sortKey="Murai, Noriyuki" sort="Murai, Noriyuki" uniqKey="Murai N" first="Noriyuki" last="Murai">Noriyuki Murai</name><affiliation wicri:level="1"><mods:affiliation>Department of Vascular Surgery, Saiseikai Kawaguchi General Hospital, Kawaguchi‐shi, Saitamaken, Japan</mods:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Vascular Surgery, Saiseikai Kawaguchi General Hospital, Kawaguchi‐shi, Saitamaken</wicri:regionArea></affiliation></author><author><name sortKey="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name><affiliation wicri:level="1"><mods:affiliation>Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Bunkyo‐ku, Tokyo 113‐8655, Japan</mods:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Bunkyo‐ku, Tokyo 113‐8655</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Microsurgery</title><title level="j" type="alt">MICROSURGERY</title><idno type="ISSN">0738-1085</idno><idno type="eISSN">1098-2752</idno><imprint><biblScope unit="vol">32</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="580">580</biblScope><biblScope unit="page" to="584">584</biblScope><biblScope unit="page-count">5</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2012-10">2012-10</date></imprint><idno type="ISSN">0738-1085</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0738-1085</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In healthy people, no retrograde lymph flow occurs because of valves in collecting lymph vessels. However, in secondary lymphedema after lymph node dissection, lymph retention and lymphatic hypertension occurs and valvular dysfunction induces retrograde lymph flow. In this case reported, we focused on retrograde lymph flow and performed retrograde lymphatico‐venous anastomosis (LVA) simultaneously with antegrade LVA. A 67‐year‐old Japanese woman had worsening edema in her right thigh and hip area for 3 years. She had previously undergone extended hysterectomy with lymph node dissection for endometrial cancer 8 years before. Indocyanine green test showed antegrade and retrograde lymph flow. Four LVAs were made in the right medial thigh and right lower abdominal area under local anesthesia. Lymphedema showed rapid improvement within 12 months and compression therapy was not required at 24 months after LVA. Retrograde LVA has a possibility of a more efficacy for secondary lymphedema. © 2012 Wiley Periodicals, Inc. Microsurgery, 2012.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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