Serveur d'exploration sur le lymphœdème

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Supermicrosurgical anastomosis of superficial lymphatic vessel to deep lymphatic vessel for a patient with cellulitis-induced chronic localized leg lymphedema.

Identifieur interne : 001801 ( Main/Exploration ); précédent : 001800; suivant : 001802

Supermicrosurgical 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 Koshima

Source :

RBID : pubmed:25197031

Descripteurs français

English descriptors

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


Affiliations:


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Le document en format XML

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<term>Aged</term>
<term>Anastomosis, Surgical (methods)</term>
<term>Cellulitis (complications)</term>
<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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<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>Cellulitis</term>
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<term>Anastomosis, Surgical</term>
<term>Microsurgery</term>
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<term>Cellulitis</term>
<term>Leg</term>
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
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<term>Maladie chronique</term>
<term>Microchirurgie</term>
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<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>
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