Simultaneous multi-site lymphaticovenular anastomoses for primary lower extremity and genital lymphoedema complicated with severe lymphorrhea
Simultaneous multi-site lymphaticovenular anastomoses for primary lower extremity and genital lymphoedema complicated with severe lymphorrhea
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DOI：
10.1016/j.bjps.2010.10.011
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发表时间：
2011-06-01
影响因子：
2.7
通讯作者：
Iida, Takuya
中科院分区：
文献类型：
--
作者：
Yamamoto, Takumi;Koshima, Isao;Iida, Takuya
原发性下肢和生殖器淋巴水肿（GL）是难以管理的，特别是当合并严重的淋巴漏。我们有丰富的治疗下肢淋巴水肿（LEL）的经验，我们对伴有严重淋巴漏的GL进行了同时多部位淋巴小静脉吻合术（LVAs）。在2例原发性LEL和GL病例中，在局部麻醉下，使用2至3台手术显微镜通过2厘米长的皮肤切口进行LVAs。水肿、漏淋巴症状临床改善。LVA是一种微创手术，即使在原发性严重淋巴漏的病例中，LVA也能有效治疗LEL和GL。同时多部位LVAs是治疗淋巴水肿最有效的方法。(C) 2010年英国整形、重建和美容外科医师协会。Elsevier Ltd.出版。版权所有。
Primary lower extremity and genital lymphoedema (GL) is difficult to manage, especially when complicated with severe lymphorrhea. With abundant experience of treatment for lower-extremity lymphoedema (LEL), we performed simultaneous multi-site lymphaticovenular anastomoses (LVAs) for GL with severe lymphorrhea. In two cases of primary LEL and GL, LVAs were performed via 2-cm-long skin incisions using two to three operating microscopes under local anaesthesia. Symptoms of oedema and lymphorrhea improved clinically. LVA is a minimally invasive surgery, which is effective for the treatment of LEL and GL even in primary cases with severe lymphorrhea. Simultaneous multi-site LVAs can serve as the most effective therapy for lymphoedema. (C) 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.