Surgical Treatment of Advanced Lymphatic Filariasis of Lower Extremity Combining Vascularized Lymph Node Transfer and Excisional Procedures

2019 ◽  
Vol 17 (6) ◽  
pp. 637-646
Author(s):  
Ram M. Chilgar ◽  
Sujit Khade ◽  
Hung-Chi Chen ◽  
Pedro Ciudad ◽  
Matthew Sze-Wei Yeo ◽  
...  
Keyword(s):  
Lymph Node ◽  
Surgical Treatment ◽  
Lower Extremity ◽  
Lymphatic Filariasis ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

scholarly journals Recurrent Advanced Lower Extremity Lymphedema Following Initial Successful Vascularized Lymph Node Transfer: A Clinical and Histopathological Analysis

2017 ◽  
Vol 44 (1) ◽  
pp. 87-89 ◽  
Author(s):  
Pedro Ciudad ◽  
Shivprasad Date ◽  
Oscar J Manrique ◽  
Wei-Ling Chang ◽  
Tsung-Chun Huang ◽  
...  
Keyword(s):  
Lymph Node ◽  
Lower Extremity ◽  
Histopathological Analysis ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

scholarly journals Simultaneous Supraclavicular Lymph Node Transfer and Lymphovenous Anastomosis for the Surgical Treatment of End-Stage Lymphedema

2021 ◽  
Author(s):  
Kyung-Chul Moon ◽  
In-Jae Yoon
Keyword(s):  
Lymph Node ◽  
Lower Extremity ◽  
Nonsurgical Management ◽  
Inguinal Area ◽  
History Of ◽  
Lymph Node Transfer ◽  
Lymphovenous Anastomosis ◽  
The Right ◽  
End Stage ◽  
Vascularized Lymph Node Transfer

Abstract BackgroundVarious surgical options are available to treat lymphedema, such as direct excisional debulking surgery, suction-assisted lipectomy debulking, lymphovenous anastomosis (LVA), and vascularized lymph node transplantation (VLNT). However, no studies have addressed simultaneous surgery with both LVA and VLNT for patients with advanced-stage lymphedema. Case Presentation A 72-year-old female with bilateral lower extremity lymphedema refractory to nonsurgical management was admitted to our lymphedema clinic. This patient had a history of lymphoma and treated with radiotherapy on right inguinal area 26 years ago. Interestingly, the patient developed lymphedema on both the right and left lower extremities although she had radiotherapy on her right inguinal area. The patient underwent simultaneous vascularized lymph node transfer and lymphovenous anastomosis for treatment of end-stage lymphedema. Significant reduction in circumference and volume of lower extremity was achieved following simultaneous vascularized lymph node transfer and lymphonvenous anastomosis Conclusion The authors recommend simultaneous VLNT and LVA surgeries as the first treatment option for patients with end-stage lymphedema.

scholarly journals Surgical treatment of lymphedema

2020 ◽  
Vol 63 (4) ◽  
pp. 206-213 ◽  
Author(s):  
Il-Kug Kim ◽  
Hak Chang
Keyword(s):  
Lymph Node ◽  
Surgical Treatment ◽  
Lymphatic Vessels ◽  
Compression Therapy ◽  
Lymphatic Drainage ◽  
Vascular Supply ◽  
Lymphatic Circulation ◽  
Lymph Node Transfer ◽  
Lymphatic Fluid ◽  
Vascularized Lymph Node Transfer

Lymphedema is a debilitating and progressive condition, which results in the accumulation of lymphatic fluid within the interstitial compartments of tissues and hypertrophy of adipose tissue due to the impairment of lymphatic circulation. The mainstay of current lymphedema treatment is nonsurgical management such as complex decongestive therapy and compression therapy. Recently, surgical treatment of lymphedema based on microsurgery has been developed to enable the functional recovery of lymphatic drainage and has complemented nonsurgical treatment. Lymphaticovenular anastomosis and vascularized lymph node transfer are representative physiologic surgeries in the treatment of lymphedema. Lymphaticovenular anastomosis is conducted to drain lymphatic fluid from obstructed lymphatic vessels to the venous circulation through surgically created lymphaticovenous shunts. Vascularized lymph node transfer involves harvesting lymph nodes with their vascular supply and transferring this vascularized tissue to the lymphedema lesion as a free flap. In addition to physiologic surgeries, ablative surgeries such as direct excision and liposuction also can be performed, especially for end-stage cases. Indications for surgical treatment vary across institutions. It is important not to delay physiologic surgery in mild to moderate cases of lymphedema.

Comparisons in long‐term clinical outcomes among patients with upper or lower extremity lymphedema treated with diverse vascularized lymph node transfer

Microsurgery ◽  
2020 ◽  
Vol 40 (2) ◽  
pp. 130-136 ◽  
Author(s):  
Pedro Ciudad ◽  
Oscar J. Manrique ◽  
Samyd S. Bustos ◽  
John J. P. Coca ◽  
Chang‐Cheng Chang ◽  
...  
Keyword(s):  
Lymph Node ◽  
Lower Extremity ◽  
Clinical Outcomes ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

Vascularized lymph node transfer from thoracodorsal axis for congenital and post filarial lymphedema of the lower limb

2016 ◽  
Vol 115 (1) ◽  
pp. 78-83
Author(s):  
Hari Venkatramani ◽  
Senthil Kumaran ◽  
Shivannaiah Chethan ◽  
Shanmuganathan Raja Sabapathy
Keyword(s):  
Lymph Node ◽  
Lower Limb ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer
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