Antegrade and retrograde lymphatico-venous anastomosis for cancer-related lymphedema with lymphatic valve dysfuction and lymphatic varix.
Identifieur interne : 005046 ( Ncbi/Merge ); précédent : 005045; suivant : 005047Antegrade and retrograde lymphatico-venous anastomosis for cancer-related lymphedema with lymphatic valve dysfuction and lymphatic varix.
Auteurs : Makoto Mihara [Japon] ; Hisako Hara ; Takuya Iida ; Takeshi Todokoro ; Takumi Yamamoto (chirurgien) [Japon] ; Mitsunaga Narushima ; Kensuke Tashiro ; Noriyuki Murai ; Isao KoshimaSource :
- Microsurgery [ 1098-2752 ] ; 2012.
Descripteurs français
- KwdFr :
- Anastomose chirurgicale, Complications postopératoires (), Complications postopératoires (physiopathologie), Femelle, Humains, Lymphadénectomie, Lymphoedème (), Lymphoedème (physiopathologie), Lymphoedème (étiologie), Sujet âgé, Tumeurs de l'endomètre (), Vaisseaux lymphatiques (), Vaisseaux lymphatiques (physiopathologie), Veines ().
- MESH :
- physiopathologie : Complications postopératoires, Lymphoedème, Vaisseaux lymphatiques.
- étiologie : Lymphoedème.
- Anastomose chirurgicale, Complications postopératoires, Femelle, Humains, Lymphadénectomie, Lymphoedème, Sujet âgé, Tumeurs de l'endomètre, Vaisseaux lymphatiques, Veines.
English descriptors
- KwdEn :
- Aged, Anastomosis, Surgical, Endometrial Neoplasms (surgery), Female, Humans, Lymph Node Excision, Lymphatic Vessels (physiopathology), Lymphatic Vessels (surgery), Lymphedema (etiology), Lymphedema (physiopathology), Lymphedema (surgery), Postoperative Complications (physiopathology), Postoperative Complications (surgery), Veins (surgery).
- MESH :
- etiology : Lymphedema.
- physiopathology : Lymphatic Vessels, Lymphedema, Postoperative Complications.
- surgery : Endometrial Neoplasms, Lymphatic Vessels, Lymphedema, Postoperative Complications, Veins.
- Aged, Anastomosis, Surgical, Female, Humans, Lymph Node Excision.
Abstract
In healthy people, no retrograde lymph flow occurs because of valves in collecting lymph vessels. However, in secondary lymphedema after lymph node dissection, lymph retention and lymphatic hypertension occurs and valvular dysfunction induces retrograde lymph flow. In this case reported, we focused on retrograde lymph flow and performed retrograde lymphatico-venous anastomosis (LVA) simultaneously with antegrade LVA. A 67-year-old Japanese woman had worsening edema in her right thigh and hip area for 3 years. She had previously undergone extended hysterectomy with lymph node dissection for endometrial cancer 8 years before. Indocyanine green test showed antegrade and retrograde lymph flow. Four LVAs were made in the right medial thigh and right lower abdominal area under local anesthesia. Lymphedema showed rapid improvement within 12 months and compression therapy was not required at 24 months after LVA. Retrograde LVA has a possibility of a more efficacy for secondary lymphedema.
DOI: 10.1002/micr.22022
PubMed: 22903404
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pubmed:22903404Le document en format XML
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<term>Lymphatic Vessels (physiopathology)</term>
<term>Lymphatic Vessels (surgery)</term>
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<front><div type="abstract" xml:lang="en">In healthy people, no retrograde lymph flow occurs because of valves in collecting lymph vessels. However, in secondary lymphedema after lymph node dissection, lymph retention and lymphatic hypertension occurs and valvular dysfunction induces retrograde lymph flow. In this case reported, we focused on retrograde lymph flow and performed retrograde lymphatico-venous anastomosis (LVA) simultaneously with antegrade LVA. A 67-year-old Japanese woman had worsening edema in her right thigh and hip area for 3 years. She had previously undergone extended hysterectomy with lymph node dissection for endometrial cancer 8 years before. Indocyanine green test showed antegrade and retrograde lymph flow. Four LVAs were made in the right medial thigh and right lower abdominal area under local anesthesia. Lymphedema showed rapid improvement within 12 months and compression therapy was not required at 24 months after LVA. Retrograde LVA has a possibility of a more efficacy for secondary lymphedema.</div>
</front>
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