LymphedemaV1, Main, Exploration, bibRecord, 002952

Ladder-shaped lymphaticovenular anastomosis using multiple side-to-side lymphatic anastomoses for a leg lymphedema patient.

Identifieur interne : 002952 ( Main/Exploration ); précédent : 002951; suivant : 002953

Ladder-shaped lymphaticovenular anastomosis using multiple side-to-side lymphatic anastomoses for a leg lymphedema patient.

Auteurs : Takumi Yamamoto (chirurgien) [Japon] ; Kazuki Kikuchi ; Hidehiko Yoshimatsu ; Isao Koshima

Source :

Microsurgery [ 1098-2752 ] ; 2014.

RBID : pubmed:24375825

Descripteurs français

KwdFr :
- Anastomose chirurgicale (), Complications postopératoires (), Femelle, Humains, Jambe, Lymphoedème, Perméabilité vasculaire, Sujet âgé, Tumeurs de l'utérus (), Vaisseaux lymphatiques (), Veinules ().
MESH :
- Anastomose chirurgicale, Complications postopératoires, Femelle, Humains, Jambe, Lymphoedème, Perméabilité vasculaire, Sujet âgé, Tumeurs de l'utérus, Vaisseaux lymphatiques, Veinules.

English descriptors

KwdEn :
- Aged, Anastomosis, Surgical (methods), Female, Humans, Leg, Lymphatic Vessels (surgery), Lymphedema, Postoperative Complications (surgery), Uterine Neoplasms (surgery), Vascular Patency, Venules (surgery).
MESH :
- methods : Anastomosis, Surgical.
- surgery : Lymphatic Vessels, Postoperative Complications, Uterine Neoplasms, Venules.
- Aged, Female, Humans, Leg, Lymphedema, Vascular Patency.

Abstract

Lymphatic supermicrosurgery, supermicrosurgical lymphaticovenular anastomosis (LVA), is becoming a useful option for the treatment of compression-refractory lymphedema. One of the most important points in LVA is to make as many bypasses as possible for better treatment results. We report a progressive lower extremity lymphedema (LEL) case successfully treated with a ladder-shaped LVA. A 67-year-old female with secondary LEL refractory to conservative treatments underwent LVA. A ladder-shaped LVA was performed at the left ankle. In the ladder-shaped LVA, 3 lymphatic vessels and 1 vein were anastomosed in a side-to-side fashion; 2 lymphatic vessels next to the vein were anastomosed to the vein, and the other lymphatic vessel was anastomosed to the nearby lymphatic vessel. Using ladder-shaped LVA, 6 lymph flows of 3 lymphatic vessels could be bypassed into a vein. Six months after the LVA operation, her left LEL index decreased from 212 to 195, indicating edematous volume reduction. Ladder-shaped LVA may be a useful option when there are 3 lymphatic vessels and 1 vein in a surgical field.

DOI: 10.1002/micr.22215
PubMed: 24375825

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en">Lymphatic supermicrosurgery, supermicrosurgical lymphaticovenular anastomosis (LVA), is becoming a useful option for the treatment of compression-refractory lymphedema. One of the most important points in LVA is to make as many bypasses as possible for better treatment results. We report a progressive lower extremity lymphedema (LEL) case successfully treated with a ladder-shaped LVA. A 67-year-old female with secondary LEL refractory to conservative treatments underwent LVA. A ladder-shaped LVA was performed at the left ankle. In the ladder-shaped LVA, 3 lymphatic vessels and 1 vein were anastomosed in a side-to-side fashion; 2 lymphatic vessels next to the vein were anastomosed to the vein, and the other lymphatic vessel was anastomosed to the nearby lymphatic vessel. Using ladder-shaped LVA, 6 lymph flows of 3 lymphatic vessels could be bypassed into a vein. Six months after the LVA operation, her left LEL index decreased from 212 to 195, indicating edematous volume reduction. Ladder-shaped LVA may be a useful option when there are 3 lymphatic vessels and 1 vein in a surgical field.</div>
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Serveur d'exploration sur le lymphœdème

Ladder-shaped lymphaticovenular anastomosis using multiple side-to-side lymphatic anastomoses for a leg lymphedema patient.

Ladder-shaped lymphaticovenular anastomosis using multiple side-to-side lymphatic anastomoses for a leg lymphedema patient.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le lymphœdème
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