Lymphovenous anastomosis (LVA) for treatment of iatrogenic lymphocele in the thigh.
Microsurgery
; 41(1): 19-25, 2021 Jan.
Article
em En
| MEDLINE
| ID: mdl-32343453
ABSTRACT
BACKGROUND:
Lymphocele is a collection of lymphatic fluid within the body. It is caused by an impairment of lymph drainage and often occurs after a surgical intervention. In this setting conservative treatment is usually ineffective. The aim of this report is to share the outcomes of 11 patients with iatrogenic lymphocele in the thigh area treated by supermicrosurgical lymphovenous anastomosis. PATIENTS ANDMETHODS:
Eleven patients presenting iatrogenic lymphocele in the thigh were referred for surgery after an unsuccessful conservative therapy. Patients' mean age was 56 years old, two males and nine females. All of them presented a moderate-to-severe lymphocele in the medial thigh after a surgical intervention that damaged the rich lymphatic pathway present there. Indocyanine green (ICG) lymphography was always performed to visualize the lymphatic vessels and to make the preoperative marking.RESULTS:
All the 11 patients were successfully treated by means of one or more (range 1-3; mean 1.5) lymphaticovenous anastomoses without complications. Three of them also received a pedicled sartorius flap for dead space obliteration. All the patients reached full range of motion (ROM) and no recurrences were observed during follow up (range 6-12 months; mean 8). Intra-operative ICG lymphography was performed in all cases to check the patency of the anastomoses.CONCLUSIONS:
Lymphaticovenous anastomosis confirmed to be a minimally-invasive and effective procedure for the treatment of postsurgical lymphoceles in the leg. For large lymphoceles a muscle flap may be indicated for volume restoration and prevention of recurrences.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Linfocele
/
Vasos Linfáticos
/
Linfedema
Tipo de estudo:
Etiology_studies
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Microsurgery
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Suíça