Supermicrosurgical anastomosis of superficial lymphatic vessel to deep lymphatic vessel for a patient with cellulitis-induced chronic localized leg lymphedema.
Identifieur interne : 001801 ( Main/Curation ); précédent : 001800; suivant : 001802Supermicrosurgical anastomosis of superficial lymphatic vessel to deep lymphatic vessel for a patient with cellulitis-induced chronic localized leg lymphedema.
Auteurs : Takumi Yamamoto (chirurgien) [Japon] ; Isao KoshimaSource :
- Microsurgery [ 1098-2752 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Cellulitis.
- methods : Anastomosis, Surgical, Microsurgery.
- surgery : Cellulitis, Leg, Lymphatic Vessels, Lymphedema.
- Aged, Chronic Disease, Humans, Male.
Abstract
Supermicrosurgical lymphaticovenular anastomosis (LVA) has been reported to be useful for the treatment of obstructive lymphedema. However, LVA has a potential risk of anastomosis site thrombosis. It is more physiological to use a lymphatic vessel as a recipient vessel of lymphatic bypass surgery, because there is no chance for blood to contact the anastomosis site. We report a chronic localized lower leg lymphedema case treated with supermicrosurgical superficial-to-deep lymphaticolymphatic anastomosis (LLA). A 66-year-old male with a 60-year history of cellulitis-induced left lower leg lymphedema suffered from very frequent episodes of cellulitis and underwent LLA under local infiltration anesthesia. LLA was performed at the dorsum of the left foot. A dilated superficial lymphatic vessel was found in the fat layer, and a nondilated intact deep lymphatic vessel was found along the dorsalis pedis artery below the deep fascia. The superficial lymphatic vessel was supermicrosurgically anastomosed to the deep lymphatic vessel in a side-to-end fashion. After the surgery, the patient had no episodes of cellulitis, and the left lower leg lymphedematous volume decreased. Superficial-to-deep LLA may be a useful option for the treatment of secondary lymphedema due to obstruction of only the superficial lymphatic system.
DOI: 10.1002/micr.22327
PubMed: 25197031
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pubmed:25197031Le document en format XML
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<author><name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto (chirurgien)</name>
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<term>Cellulitis (surgery)</term>
<term>Chronic Disease</term>
<term>Humans</term>
<term>Leg (surgery)</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Lymphedema (surgery)</term>
<term>Male</term>
<term>Microsurgery (methods)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Anastomose chirurgicale ()</term>
<term>Cellulite sous-cutanée ()</term>
<term>Humains</term>
<term>Jambe ()</term>
<term>Lymphoedème ()</term>
<term>Maladie chronique</term>
<term>Microchirurgie ()</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Vaisseaux lymphatiques ()</term>
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<term>Microsurgery</term>
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<term>Leg</term>
<term>Lymphatic Vessels</term>
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<term>Chronic Disease</term>
<term>Humans</term>
<term>Male</term>
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<term>Maladie chronique</term>
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<front><div type="abstract" xml:lang="en">Supermicrosurgical lymphaticovenular anastomosis (LVA) has been reported to be useful for the treatment of obstructive lymphedema. However, LVA has a potential risk of anastomosis site thrombosis. It is more physiological to use a lymphatic vessel as a recipient vessel of lymphatic bypass surgery, because there is no chance for blood to contact the anastomosis site. We report a chronic localized lower leg lymphedema case treated with supermicrosurgical superficial-to-deep lymphaticolymphatic anastomosis (LLA). A 66-year-old male with a 60-year history of cellulitis-induced left lower leg lymphedema suffered from very frequent episodes of cellulitis and underwent LLA under local infiltration anesthesia. LLA was performed at the dorsum of the left foot. A dilated superficial lymphatic vessel was found in the fat layer, and a nondilated intact deep lymphatic vessel was found along the dorsalis pedis artery below the deep fascia. The superficial lymphatic vessel was supermicrosurgically anastomosed to the deep lymphatic vessel in a side-to-end fashion. After the surgery, the patient had no episodes of cellulitis, and the left lower leg lymphedematous volume decreased. Superficial-to-deep LLA may be a useful option for the treatment of secondary lymphedema due to obstruction of only the superficial lymphatic system.</div>
</front>
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