Lymphatic dysfunction after ligation surgery for varicose vein
Identifieur interne : 000818 ( Pmc/Checkpoint ); précédent : 000817; suivant : 000819Lymphatic dysfunction after ligation surgery for varicose vein
Auteurs : Hisako Hara [Japon] ; Makoto Mihara [Japon] ; Kyoko Hasegawa [Japon] ; Kazuko Yamanaka [Japon]Source :
- SAGE Open Medical Case Reports [ 2050-313X ] ; 2016.
Abstract
Although the lymphatic complications such as lymphocele sometimes occur after surgery for varicose veins, the lymphatic function of such patients has not been evaluated. In this case report, we present a case of lymphocele after ligation surgery for varicose vein. We also detected subclinical dysfunction in lower limb using indocyanine green (ICG) lymphography.
A 76 year- old female underwent ligation surgery for right lower leg varicose vein, and she noticed the squashy lesion in the medial side of the right knee. Three years later, she consulted our clinic and we performed ICG lymphography. We observed dermal backflow around the mass, which indicated lymphatic dysfunction. After injecting additional ICG around the knee, we punctured and drained the clear, yellow fluid from the mass and it was contrasted with ICG during the examination and the involvement of the lymphatic system was proven.
Url:
DOI: 10.1177/2050313X16672154
PubMed: 27757234
PubMed Central: 5051666
Affiliations:
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<author><name sortKey="Yamanaka, Kazuko" sort="Yamanaka, Kazuko" uniqKey="Yamanaka K" first="Kazuko" last="Yamanaka">Kazuko Yamanaka</name>
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<front><div type="abstract" xml:lang="en"><sec id="section1-2050313X16672154"><title>Objective:</title>
<p>Although the lymphatic complications such as lymphocele sometimes occur after surgery for varicose veins, the lymphatic function of such patients has not been evaluated. In this case report, we present a case of lymphocele after ligation surgery for varicose vein. We also detected subclinical dysfunction in lower limb using indocyanine green (ICG) lymphography.</p>
</sec>
<sec id="section2-2050313X16672154"><title>Case report:</title>
<p>A 76 year- old female underwent ligation surgery for right lower leg varicose vein, and she noticed the squashy lesion in the medial side of the right knee. Three years later, she consulted our clinic and we performed ICG lymphography. We observed dermal backflow around the mass, which indicated lymphatic dysfunction. After injecting additional ICG around the knee, we punctured and drained the clear, yellow fluid from the mass and it was contrasted with ICG during the examination and the involvement of the lymphatic system was proven.</p>
</sec>
</div>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">SAGE Open Med Case Rep</journal-id>
<journal-id journal-id-type="iso-abbrev">SAGE Open Med Case Rep</journal-id>
<journal-id journal-id-type="publisher-id">SCO</journal-id>
<journal-id journal-id-type="hwp">spsco</journal-id>
<journal-title-group><journal-title>SAGE Open Medical Case Reports</journal-title>
</journal-title-group>
<issn pub-type="epub">2050-313X</issn>
<publisher><publisher-name>SAGE Publications</publisher-name>
<publisher-loc>Sage UK: London, England</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27757234</article-id>
<article-id pub-id-type="pmc">5051666</article-id>
<article-id pub-id-type="doi">10.1177/2050313X16672154</article-id>
<article-id pub-id-type="publisher-id">10.1177_2050313X16672154</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Lymphatic dysfunction after ligation surgery for varicose vein</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Hara</surname>
<given-names>Hisako</given-names>
</name>
<xref ref-type="aff" rid="aff1-2050313X16672154">1</xref>
<xref ref-type="corresp" rid="corresp1-2050313X16672154"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mihara</surname>
<given-names>Makoto</given-names>
</name>
<xref ref-type="aff" rid="aff1-2050313X16672154">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hasegawa</surname>
<given-names>Kyoko</given-names>
</name>
<xref ref-type="aff" rid="aff2-2050313X16672154">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yamanaka</surname>
<given-names>Kazuko</given-names>
</name>
<xref ref-type="aff" rid="aff3-2050313X16672154">3</xref>
</contrib>
</contrib-group>
<aff id="aff1-2050313X16672154"><label>1</label>
Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan</aff>
<aff id="aff2-2050313X16672154"><label>2</label>
Department of Rehabilitation, Saiseikai Kawaguchi General Hospital, Saitama, Japan</aff>
<aff id="aff3-2050313X16672154"><label>3</label>
Department of Nursing, Saiseikai Kawaguchi General Hospital, Saitama, Japan</aff>
<author-notes><corresp id="corresp1-2050313X16672154">Hisako Hara, Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchi-shi, Saitama 332-0021, Japan. Email: <email>hisakohara.prs@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>03</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection"><year>2016</year>
</pub-date>
<volume>4</volume>
<elocation-id>2050313X16672154</elocation-id>
<history><date date-type="received"><day>29</day>
<month>5</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>6</day>
<month>9</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s) 2016</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder content-type="sage">SAGE Publications</copyright-holder>
<license license-type="creative-commons" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (<ext-link ext-link-type="uri" xlink:href="http://www.creativecommons.org/licenses/by-nc/3.0/">http://www.creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(<ext-link ext-link-type="uri" xlink:href="https://us.sagepub.com/en-us/nam/open-access-at-sage">https://us.sagepub.com/en-us/nam/open-access-at-sage</ext-link>
).</license-p>
</license>
</permissions>
<abstract><sec id="section1-2050313X16672154"><title>Objective:</title>
<p>Although the lymphatic complications such as lymphocele sometimes occur after surgery for varicose veins, the lymphatic function of such patients has not been evaluated. In this case report, we present a case of lymphocele after ligation surgery for varicose vein. We also detected subclinical dysfunction in lower limb using indocyanine green (ICG) lymphography.</p>
</sec>
<sec id="section2-2050313X16672154"><title>Case report:</title>
<p>A 76 year- old female underwent ligation surgery for right lower leg varicose vein, and she noticed the squashy lesion in the medial side of the right knee. Three years later, she consulted our clinic and we performed ICG lymphography. We observed dermal backflow around the mass, which indicated lymphatic dysfunction. After injecting additional ICG around the knee, we punctured and drained the clear, yellow fluid from the mass and it was contrasted with ICG during the examination and the involvement of the lymphatic system was proven.</p>
</sec>
</abstract>
<kwd-group><kwd>Indocyanine green</kwd>
<kwd>lymphedema</kwd>
<kwd>lymphatic dysfunction</kwd>
<kwd>varicose vein</kwd>
<kwd>high ligation</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>cover-date</meta-name>
<meta-value>January-December 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Japon</li>
</country>
</list>
<tree><country name="Japon"><noRegion><name sortKey="Hara, Hisako" sort="Hara, Hisako" uniqKey="Hara H" first="Hisako" last="Hara">Hisako Hara</name>
</noRegion>
<name sortKey="Hasegawa, Kyoko" sort="Hasegawa, Kyoko" uniqKey="Hasegawa K" first="Kyoko" last="Hasegawa">Kyoko Hasegawa</name>
<name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name>
<name sortKey="Yamanaka, Kazuko" sort="Yamanaka, Kazuko" uniqKey="Yamanaka K" first="Kazuko" last="Yamanaka">Kazuko Yamanaka</name>
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