Preparatory intravascular stenting technique: an easier method of supermicrosurgical lymphaticovenular anastomosis.
Identifieur interne : 005D63 ( Ncbi/Checkpoint ); précédent : 005D62; suivant : 005D64Preparatory intravascular stenting technique: an easier method of supermicrosurgical lymphaticovenular anastomosis.
Auteurs : Takashi Nuri [Japon] ; Koichi Ueda ; Akira Yamada ; Mai HaraSource :
- Annals of plastic surgery [ 1536-3708 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- blood supply : Leg.
- methods : Anastomosis, Surgical, Microsurgery.
- surgery : Leg, Lymphatic Vessels, Lymphedema, Venules.
- Adult, Aged, Female, Humans, Male, Middle Aged, Stents, Treatment Outcome.
Abstract
Recent supermicrosurgical techniques have made it possible to anastomose lymph vessels to the subdermal venular system. However, because the lymphatic fluid is clear and the vessel is translucent, soft, and fragile, with a thinner wall than blood vessels, supermicrosurgical lymphaticovenular anastomosis is a demanding technique. One difficulty of lymphaticovenular anastomosis is identification of the lumen to pass the suture into it. This report describes a preparatory intravascular stenting technique to identify the lumen and perform lymphaticovenular anastomosis accurately. In this technique, we placed 9-0 or 10-0 nylon thread into the lymphatic lumen before transecting the lymph vessel. The end of the nylon was pushed through to appear from the lymphatic lumen, then advanced into the vein to stabilize the 2 vessels. This technique allows supermicrosurgical lymphaticovenular anastomosis to be performed quickly and efficiently.
DOI: 10.1097/SAP.0b013e3182551670
PubMed: 24051451
Affiliations:
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sortKey="Hara, Mai" sort="Hara, Mai" uniqKey="Hara M" first="Mai" last="Hara">Mai Hara</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:24051451</idno><idno type="pmid">24051451</idno><idno type="doi">10.1097/SAP.0b013e3182551670</idno><idno type="wicri:Area/PubMed/Corpus">001914</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001914</idno><idno type="wicri:Area/PubMed/Curation">001914</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001914</idno><idno type="wicri:Area/PubMed/Checkpoint">001914</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001914</idno><idno type="wicri:Area/Ncbi/Merge">005D63</idno><idno type="wicri:Area/Ncbi/Curation">005D63</idno><idno type="wicri:Area/Ncbi/Checkpoint">005D63</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Preparatory intravascular stenting technique: an easier method of supermicrosurgical lymphaticovenular anastomosis.</title><author><name sortKey="Nuri, Takashi" sort="Nuri, Takashi" uniqKey="Nuri T" first="Takashi" last="Nuri">Takashi Nuri</name><affiliation wicri:level="1"><nlm:affiliation>From the Department of Plastic and Reconstructive Surgery, Osaka Medical College, Takatsuki, Osaka, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>From the Department of Plastic and Reconstructive Surgery, Osaka Medical College, Takatsuki, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Ueda, Koichi" sort="Ueda, Koichi" uniqKey="Ueda K" first="Koichi" last="Ueda">Koichi Ueda</name></author><author><name sortKey="Yamada, Akira" sort="Yamada, Akira" uniqKey="Yamada A" first="Akira" last="Yamada">Akira Yamada</name></author><author><name sortKey="Hara, Mai" sort="Hara, Mai" uniqKey="Hara M" first="Mai" last="Hara">Mai Hara</name></author></analytic><series><title level="j">Annals of plastic surgery</title><idno type="eISSN">1536-3708</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Anastomosis, Surgical (methods)</term><term>Female</term><term>Humans</term><term>Leg (blood supply)</term><term>Leg (surgery)</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Microsurgery (methods)</term><term>Middle Aged</term><term>Stents</term><term>Treatment Outcome</term><term>Venules (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale ()</term><term>Endoprothèses</term><term>Femelle</term><term>Humains</term><term>Jambe ()</term><term>Lymphoedème ()</term><term>Microchirurgie ()</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Vaisseaux lymphatiques ()</term><term>Veinules ()</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Leg</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anastomosis, Surgical</term><term>Microsurgery</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Leg</term><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Venules</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Stents</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Endoprothèses</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème</term><term>Microchirurgie</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Vaisseaux lymphatiques</term><term>Veinules</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Recent supermicrosurgical techniques have made it possible to anastomose lymph vessels to the subdermal venular system. However, because the lymphatic fluid is clear and the vessel is translucent, soft, and fragile, with a thinner wall than blood vessels, supermicrosurgical lymphaticovenular anastomosis is a demanding technique. One difficulty of lymphaticovenular anastomosis is identification of the lumen to pass the suture into it. This report describes a preparatory intravascular stenting technique to identify the lumen and perform lymphaticovenular anastomosis accurately. In this technique, we placed 9-0 or 10-0 nylon thread into the lymphatic lumen before transecting the lymph vessel. The end of the nylon was pushed through to appear from the lymphatic lumen, then advanced into the vein to stabilize the 2 vessels. This technique allows supermicrosurgical lymphaticovenular anastomosis to be performed quickly and efficiently.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Hara, Mai" sort="Hara, Mai" uniqKey="Hara M" first="Mai" last="Hara">Mai Hara</name><name sortKey="Ueda, Koichi" sort="Ueda, Koichi" uniqKey="Ueda K" first="Koichi" last="Ueda">Koichi Ueda</name><name sortKey="Yamada, Akira" sort="Yamada, Akira" uniqKey="Yamada A" first="Akira" last="Yamada">Akira Yamada</name></noCountry><country name="Japon"><noRegion><name sortKey="Nuri, Takashi" sort="Nuri, Takashi" uniqKey="Nuri T" first="Takashi" last="Nuri">Takashi Nuri</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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