Multi-site lymphatic venous anastomosis using echography to detect suitable subcutaneous vein in severe lymphedema patients

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
M MiharaTakuya Iida

Abstract

The method of lymphatic venous anastomosis (LVA), including its indications or preoperative examinations, has not been established. The purpose of this study is to reveal the possible application of preoperative echography in surgical LVA outcome. We performed a retrospective case-control study on patients with lower limb lymphedema who underwent LVA between August 15, 2013 and August 15, 2014. As a preoperative examination, we used venous echography to identify subcutaneous veins in the echo group, while we only used Accuvein visualizing system in the control group. The operation time, number of anastomoses, and limb circumference were compared between the two groups. Seventeen patients (34 limbs) were included in the echo group, and 21 patients (42 limbs) were included in the control group. The average follow-up period was 11.9 (6-16) and 12.4 (6-27) months, respectively. The average operation time in the echo group was 258.6 min, and that in the control group was 216.5 min. The average number of anastomoses was 9.8 and 7.0 in the echo and control group, respectively. The average time per anastomosis was 27.4 and 32.6 min, respectively. The diameter of the vein had a tendency to be larger in the echo group than in the control...Continue Reading

Citations

Jul 25, 2019·Annals of Plastic Surgery·Hisako Hara, Makoto Mihara
Apr 26, 2019·Lymphatic Research and Biology·Hisako Hara, Makoto Mihara
Jan 16, 2020·Cancers·Itay WiserJoseph H Dayan
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Summer E HansonMatthew M Hanasono
Jan 10, 2021·Microsurgery·Hisako Hara, Makoto Mihara
Jan 21, 2021·Lymphatic Research and Biology·Hisako Hara, Makoto Mihara
Mar 3, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Hisako Hara, Makoto Mihara
Dec 22, 2020·Annals of Plastic Surgery·Kuo ChenPengwei Lu
Oct 16, 2020·Lymphatic Research and Biology·Hisako Hara, Makoto Mihara

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