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Split intravascular stents for side-to-end lymphaticovenular anastomosis.

Identifieur interne : 003145 ( Main/Merge ); précédent : 003144; suivant : 003146

Split intravascular stents for side-to-end lymphaticovenular anastomosis.

Auteurs : Takumi Yamamoto (chirurgien) [Japon] ; Hidehiko Yoshimatsu ; Mitsunaga Narushima ; Nana Yamamoto ; Isao Koshima

Source :

RBID : pubmed:24126341

Descripteurs français

English descriptors

Abstract

Supermicrosurgical lymphaticovenular anastomosis (LVA) is becoming the treatment of choice for compression-refractory lymphedema. Among various types of LVA, side-to-end (S-E) LVA is considered to be the most efficient one, because it can divert bidirectional lymph flows into venous circulation via 1 anastomosis, but is technically difficult. We developed a new technique for safe and easy S-E LVA with modified intravascular stenting (IVaS) method. Different from the original IVaS method, a lymphatic vessel is pierced by an IVaS before creation of a lateral window. The IVaS is cut after window creation and the ends are inserted into the lymphatic vessel and the venule respectively, guiding the course of the needle throughout the S-E anastomosis procedure. This method makes S-E LVA easier without special instruments.

DOI: 10.1097/SAP.0b013e318250f0a0
PubMed: 24126341

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Le document en format XML

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<term>Lower Extremity</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (surgery)</term>
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<term>Lymphoedème ()</term>
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<term>Microchirurgie ()</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
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<term>Microsurgery</term>
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<term>Lymphedema</term>
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<div type="abstract" xml:lang="en">Supermicrosurgical lymphaticovenular anastomosis (LVA) is becoming the treatment of choice for compression-refractory lymphedema. Among various types of LVA, side-to-end (S-E) LVA is considered to be the most efficient one, because it can divert bidirectional lymph flows into venous circulation via 1 anastomosis, but is technically difficult. We developed a new technique for safe and easy S-E LVA with modified intravascular stenting (IVaS) method. Different from the original IVaS method, a lymphatic vessel is pierced by an IVaS before creation of a lateral window. The IVaS is cut after window creation and the ends are inserted into the lymphatic vessel and the venule respectively, guiding the course of the needle throughout the S-E anastomosis procedure. This method makes S-E LVA easier without special instruments.</div>
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