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Secondary scrotal lymphedema: a novel microsurgical approach.

Identifieur interne : 002967 ( Ncbi/Curation ); précédent : 002966; suivant : 002968

Secondary scrotal lymphedema: a novel microsurgical approach.

Auteurs : Sylvain Mukenge [Italie] ; Carlo Pulitan ; Renzo Colombo ; Daniela Negrini ; Gianfranco Ferla

Source :

RBID : pubmed:17929261

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English descriptors

Abstract

Secondary scrotal lymphedema is an infrequent complication of radical cystectomy assiociated with pelvic lymphadenectomy. We report a case of secondary lymphedema of male genitalia presenting more than 4 years after a radical cystectomy with extended pelvic lymphadenectomy for adenocarcinoma of the bladder. Microsurgical lymphovenous anastomoses are usually performed using only the scrotal lymphatics excluding the testicular lymphatics drainage. We have experimented a new microsurgical technique based on lymphovenous anastomosis between the collectors of the spermatic funiculus and the veins of the pampiniform plexus, allowing the testicular lymphatic drainage.

DOI: 10.1002/micr.20426
PubMed: 17929261

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pubmed:17929261

Le document en format XML

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<term>Lymphedema (surgery)</term>
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<term>Microsurgery (methods)</term>
<term>Scrotum (surgery)</term>
<term>Urinary Bladder Neoplasms (surgery)</term>
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<term>Cystectomie (effets indésirables)</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Microchirurgie ()</term>
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<div type="abstract" xml:lang="en">Secondary scrotal lymphedema is an infrequent complication of radical cystectomy assiociated with pelvic lymphadenectomy. We report a case of secondary lymphedema of male genitalia presenting more than 4 years after a radical cystectomy with extended pelvic lymphadenectomy for adenocarcinoma of the bladder. Microsurgical lymphovenous anastomoses are usually performed using only the scrotal lymphatics excluding the testicular lymphatics drainage. We have experimented a new microsurgical technique based on lymphovenous anastomosis between the collectors of the spermatic funiculus and the veins of the pampiniform plexus, allowing the testicular lymphatic drainage.</div>
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