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Sequential anastomosis for lymphatic supermicrosurgery: multiple lymphaticovenular anastomoses on 1 venule.

Identifieur interne : 001D99 ( PubMed/Corpus ); précédent : 001D98; suivant : 001E00

Sequential anastomosis for lymphatic supermicrosurgery: multiple lymphaticovenular anastomoses on 1 venule.

Auteurs : Takumi Yamamoto ; Hidehiko Yoshimatsu ; Mitsunaga Narushima ; Nana Yamamoto ; Timothy Weng Hoh Shim ; Yukio Seki ; Kazuki Kikuchi ; Jun Karibe ; Shuchi Azuma ; Isao Koshima

Source :

RBID : pubmed:23241809

English descriptors

Abstract

Supermicrosurgical lymphaticovenular anastomosis (LVA) is becoming a treatment option for progressive lymphedema. Various types of LVA such as end-to-end, end-to-side, side-to-end, and side-to-side are performed to improve the treatment efficacy.

DOI: 10.1097/SAP.0b013e31826caff1
PubMed: 23241809

Links to Exploration step

pubmed:23241809

Le document en format XML

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<title xml:lang="en">Sequential anastomosis for lymphatic supermicrosurgery: multiple lymphaticovenular anastomoses on 1 venule.</title>
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<name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto</name>
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<nlm:affiliation>From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, the University of Tokyo, Bunkyo-ku, Tokyo, Japan.</nlm:affiliation>
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<name sortKey="Yoshimatsu, Hidehiko" sort="Yoshimatsu, Hidehiko" uniqKey="Yoshimatsu H" first="Hidehiko" last="Yoshimatsu">Hidehiko Yoshimatsu</name>
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<name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name>
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<name sortKey="Yamamoto, Nana" sort="Yamamoto, Nana" uniqKey="Yamamoto N" first="Nana" last="Yamamoto">Nana Yamamoto</name>
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<name sortKey="Shim, Timothy Weng Hoh" sort="Shim, Timothy Weng Hoh" uniqKey="Shim T" first="Timothy Weng Hoh" last="Shim">Timothy Weng Hoh Shim</name>
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<name sortKey="Seki, Yukio" sort="Seki, Yukio" uniqKey="Seki Y" first="Yukio" last="Seki">Yukio Seki</name>
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<name sortKey="Kikuchi, Kazuki" sort="Kikuchi, Kazuki" uniqKey="Kikuchi K" first="Kazuki" last="Kikuchi">Kazuki Kikuchi</name>
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<name sortKey="Karibe, Jun" sort="Karibe, Jun" uniqKey="Karibe J" first="Jun" last="Karibe">Jun Karibe</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="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name>
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<title xml:lang="en">Sequential anastomosis for lymphatic supermicrosurgery: multiple lymphaticovenular anastomoses on 1 venule.</title>
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<nlm:affiliation>From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, the University of Tokyo, Bunkyo-ku, Tokyo, Japan.</nlm:affiliation>
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<name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name>
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<name sortKey="Yamamoto, Nana" sort="Yamamoto, Nana" uniqKey="Yamamoto N" first="Nana" last="Yamamoto">Nana Yamamoto</name>
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<name sortKey="Shim, Timothy Weng Hoh" sort="Shim, Timothy Weng Hoh" uniqKey="Shim T" first="Timothy Weng Hoh" last="Shim">Timothy Weng Hoh Shim</name>
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<name sortKey="Seki, Yukio" sort="Seki, Yukio" uniqKey="Seki Y" first="Yukio" last="Seki">Yukio Seki</name>
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<name sortKey="Kikuchi, Kazuki" sort="Kikuchi, Kazuki" uniqKey="Kikuchi K" first="Kazuki" last="Kikuchi">Kazuki Kikuchi</name>
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<name sortKey="Karibe, Jun" sort="Karibe, Jun" uniqKey="Karibe J" first="Jun" last="Karibe">Jun Karibe</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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<title level="j">Annals of plastic surgery</title>
<idno type="eISSN">1536-3708</idno>
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<term>Humans</term>
<term>Hysterectomy</term>
<term>Lymph Node Excision</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Lymphedema (surgery)</term>
<term>Microsurgery</term>
<term>Middle Aged</term>
<term>Uterine Cervical Neoplasms (surgery)</term>
<term>Vascular Patency</term>
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<term>Anastomosis, Surgical</term>
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<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Uterine Cervical Neoplasms</term>
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<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Hysterectomy</term>
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<div type="abstract" xml:lang="en">Supermicrosurgical lymphaticovenular anastomosis (LVA) is becoming a treatment option for progressive lymphedema. Various types of LVA such as end-to-end, end-to-side, side-to-end, and side-to-side are performed to improve the treatment efficacy.</div>
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<Title>Annals of plastic surgery</Title>
<ISOAbbreviation>Ann Plast Surg</ISOAbbreviation>
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<ArticleTitle>Sequential anastomosis for lymphatic supermicrosurgery: multiple lymphaticovenular anastomoses on 1 venule.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Supermicrosurgical lymphaticovenular anastomosis (LVA) is becoming a treatment option for progressive lymphedema. Various types of LVA such as end-to-end, end-to-side, side-to-end, and side-to-side are performed to improve the treatment efficacy.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We applied sequential anastomosis for LVA surgery, in which 2 lymphatic vessels were anastomosed to 1 venule using side-to-side and side-to-end anastomoses. Six lower extremity lymphedema (LEL) patients who underwent sequential anastomosis were included in this study. Feasibility, anastomosis patency, and treatment effect of the method were evaluated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Six sequential anastomoses were performed on 6 lymphedematous limbs. All sequential anastomoses showed good anastomosis patency after completion of anastomoses. A significant decrease in LEL index was seen postoperatively (244.0 ± 14.6; postoperative LEL index vs 263.5 ± 19.4; preoperative LEL index, P = 0.002).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Sequential anastomosis can divert both normograde and retrograde lymph flows from 2 lymphatic vessels into 1 venule. Sequential LVA is a useful method to increase lymph flow bypasses, when there are fewer venules than lymphatic vessels.</AbstractText>
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