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Minimally invasive multiple lymphaticovenular anastomosis at the ankle for the prevention of lower leg lymphedema.

Identifieur interne : 001399 ( PubMed/Checkpoint ); précédent : 001398; suivant : 001400

Minimally invasive multiple lymphaticovenular anastomosis at the ankle for the prevention of lower leg lymphedema.

Auteurs : Satoshi Onoda [Japon] ; Takeshi Todokoro ; Hisako Hara ; Shuchi Azuma ; Aya Goto

Source :

RBID : pubmed:24217995

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English descriptors

Abstract

The patients with secondary unilateral lower limb lymphedema are likely to experience lymphedema of the contralateral leg in the future. Our policy is to perform preventive lymphaticovenular anastomosis (LVA) of the contralateral limb without symptoms in these patients. In this report, we describe a minimally invasive preventive LVA procedure and present the preliminary results.

DOI: 10.1002/micr.22204
PubMed: 24217995


Affiliations:


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pubmed:24217995

Le document en format XML

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<title xml:lang="en">Minimally invasive multiple lymphaticovenular anastomosis at the ankle for the prevention of lower leg lymphedema.</title>
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<name sortKey="Onoda, Satoshi" sort="Onoda, Satoshi" uniqKey="Onoda S" first="Satoshi" last="Onoda">Satoshi Onoda</name>
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<nlm:affiliation>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo</wicri:regionArea>
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<name sortKey="Todokoro, Takeshi" sort="Todokoro, Takeshi" uniqKey="Todokoro T" first="Takeshi" last="Todokoro">Takeshi Todokoro</name>
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<name sortKey="Hara, Hisako" sort="Hara, Hisako" uniqKey="Hara H" first="Hisako" last="Hara">Hisako Hara</name>
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<name sortKey="Azuma, Shuchi" sort="Azuma, Shuchi" uniqKey="Azuma S" first="Shuchi" last="Azuma">Shuchi Azuma</name>
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<name sortKey="Goto, Aya" sort="Goto, Aya" uniqKey="Goto A" first="Aya" last="Goto">Aya Goto</name>
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<term>Adult</term>
<term>Aged</term>
<term>Anastomosis, Surgical</term>
<term>Ankle (surgery)</term>
<term>Female</term>
<term>Fluorescein Angiography</term>
<term>Humans</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Lymphedema (prevention & control)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Venules (surgery)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Anastomose chirurgicale</term>
<term>Angiographie fluorescéinique</term>
<term>Cheville ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Interventions chirurgicales mini-invasives</term>
<term>Lymphoedème ()</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Vaisseaux lymphatiques ()</term>
<term>Veinules ()</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Ankle</term>
<term>Lymphatic Vessels</term>
<term>Venules</term>
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<term>Aged</term>
<term>Anastomosis, Surgical</term>
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<term>Fluorescein Angiography</term>
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<term>Angiographie fluorescéinique</term>
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<term>Interventions chirurgicales mini-invasives</term>
<term>Lymphoedème</term>
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<div type="abstract" xml:lang="en">The patients with secondary unilateral lower limb lymphedema are likely to experience lymphedema of the contralateral leg in the future. Our policy is to perform preventive lymphaticovenular anastomosis (LVA) of the contralateral limb without symptoms in these patients. In this report, we describe a minimally invasive preventive LVA procedure and present the preliminary results.</div>
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<Title>Microsurgery</Title>
<ISOAbbreviation>Microsurgery</ISOAbbreviation>
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<ArticleTitle>Minimally invasive multiple lymphaticovenular anastomosis at the ankle for the prevention of lower leg lymphedema.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The patients with secondary unilateral lower limb lymphedema are likely to experience lymphedema of the contralateral leg in the future. Our policy is to perform preventive lymphaticovenular anastomosis (LVA) of the contralateral limb without symptoms in these patients. In this report, we describe a minimally invasive preventive LVA procedure and present the preliminary results.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Ten patients with unilateral lower leg lymphedema underwent multiple LVA procedures through a skin incision over the ankle of the contralateral limb without symptoms. The Campisi clinical stage of these limbs without symptoms was stage 0 in five cases and stage 1A in five cases. The number of anastomoses performed through the incision over the ankle was two LVAs in five cases, three LVAs in four cases, and four LVAs in one case.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All the multiple LVAs were completed without complications. The onset of postoperative cellulitis and edematous aggravation of the limb that received the minimally invasive preventive LVA procedure was not noted in any patient during 6-month follow-up period.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This minimally invasive preventive LVA procedure might prevent lymphedema and improve the physical appearance of the limb with minimal scarring. Long-term follow-up will be necessary to monitor the future progression of edema in these patients.</AbstractText>
<CopyrightInformation>© 2013 Wiley Periodicals, Inc.</CopyrightInformation>
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