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Arch Hand Microsurg.  2018 Jun;23(2):116-120. 10.12790/ahm.2018.23.2.116.

Lymphaticovenous Anastomosis in Lower Extremity Lymphedema: A Case Report

Affiliations
  • 1Department of Orthopaedic Surgery, Pusan National University School of Medicine, Busan, Korea. handsurgeon@naver.com

Abstract

Treatment of secondary lymphedema at the lower extremities is largely divided into two methods: removal of lymphatic tissue and bypass of lymphatic perfusion. We report a case of lymphaticovenous anastomosis in a patient with secondary lower extremity lymphedema. A 59-year-old woman underwent lymphaticovenous anastomosis in inguinal, knee, and ankle due to obstructive lymphedema in the left lower extremity after performed radical cuff resection, Bilateral Pelvic Lymphadenectomy, Periarterial Lymphadenectomy, and total omentectomy for ovarian cancer and metastatic carcinoma. At 1 year follow-up, there was a decrease of 32.8% in volume differential compared to the preoperative level. Understanding of the features of lymphaticovenous anastomosis, we can expect good results in secondary obstructive lymphedema patients.

Keyword

Lymphaticovenous anastomosis; Lymphedema; Lower extremity

MeSH Terms

Ankle
Female
Follow-Up Studies
Humans
Knee
Lower Extremity*
Lymph Node Excision
Lymphedema*
Lymphoid Tissue
Middle Aged
Ovarian Neoplasms
Perfusion
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