Lymphovenous anastomoses (LVA) offer ideal physiologic treatment for lymphedema, and our experimental data support late patency. Between Jan. 1, Lymphaticovenous Anastomosis surgery has shown to be an effective and long- term solution for the lymphedema. To learn about LVA, call clinical-case-reports-Lymphovenous-anastomosis-white-arrows. Figure 4: Lymphovenous anastomosis, white arrows, lymphatic ducts, black arrows, veins; .

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Several small incisions in the affected arm or leg are all that is required for surgical access for the procedure. In one-third of patients with obstructive edema, their edema can be worsened by lipiodol lymphangiography [ 5 ]. Our case report indicates that lymphovenous anastomosis is one ansstomosis treatment option for lymphedema secondary to lipiodol lymphangiography.

In our review, we investigated the efficacy of LVA for the treatment of lymphedema. In this article, we describe a case of successful treatment with lymphangiography for right lower extremity which occurred after lipiodol lymphangiography.

Six patients had secondary lymphedema of the upper extremity.

Lymphaticovenous Anastomosis

Lymphovenous anastomoses LVA offer ideal physiologic treatment for lymphedema, and our experimental data support late patency. At six-month later of lymphovenous anastomosis, we revealed that his right lower extremity had become thinner significantly, nevertheless laterality remained.

All studies reported objective reductions in circumference measurements. One of eight patients with lymphedema of the lower extremity had filariasis, and anaztomosis had primary lymphedema.

Specialized techniques are employed in which surgeons use superfine surgical suture and a high-powered microscope. By checking this box you hereby agree to anstomosis Joachim W. February 05, ; Accepted date: Echography did not reveal any deep vein thrombosis. After surgery and healing, she requires to 2 or 3 hours of MLD per month and a single mm mercury compression stocking.


Granzow studied with Dr.

J Clin Case Rep 7: Do not submit any personal or private information unless you are authorized and have voluntarily consented to do so. Chylothorax is a rare complication of thoracic surgery.

End-to-end lymphovenous anastomosis was performed at the proximal of right thigh and the dorsum of the foot and the diameter ltmphovenous lymphatic duct was 0. Ten weeks after his chylothorax emerged, he was referred to our department to treat chylothorax. Chylothorax improved right after lipiodol lymphangiography. When chylothorax is refractory to conservative treatment, surgical means e.

We considered that his lower extremity edema was caused by lipiodol lymphangiography and performed lymphovenous anastomosis.

Systematic review of lymphovenous anastomosis (LVA) for the treatment of lymphedema.

When lipiodol is chosen as the agent for lymphangiography, that can act as curative method as well. Lymphedema is a chronic condition caused by the lymphovenoous or impairment of lymphatic fluid transport resulting in irreversible skin fibrosis.

Although the studies included in this review showed great heterogeneity, LVA surgery revealed both objective and subjective improvements in most patients. Lymphoscintigraphy appears to be a suitable method of both identifying patent lymph channels before surgery and determining function of LVA after operation.

Patients with primary lymphedema had disappointing results, but four of seven patients with secondary lymphedema benefited from LVA, especially if several anastomoses could be performed. Jay Granzow and Dr. Understand that if you email us, you are agreeing to the use of an unsecured method and understand that all replies will be sent in the same fashion, which you are hereby authorizing. This indicates that lipiodol lymphangiography may cause obstructive lymphedema and lymphovenous anastomosis can be effective in patients with this complication.

Lymphatic duct in calf, kenn, groin, L4 lymphovenuos L2 was enhanced 14, 24, 63, and minutes late of lipiodol injection, respectively Figure 2. One patient with primary lymphedema and four of seven patients with secondary lymphedema improved.


Chylothorax is one of the complication after thoracic surgery and treated by conservative or surgical means. Lipiodol-lymphangiography is one of annastomosis options and it causes obliteration of chylous leak by inflammatory manner. Lymphatic duct above L2 was seldom enhanced and lymphatic duct injury at the site of lymph node dissection was suspected. Can’t read the image? Chylothorax immediately after lipiodol lymphangiography and his edema of right lower extremity emerged month later of lipiodol lymphangiography.

His chylothorax developed 4-month later of subtotal esophagectomy and is refractory to the conservative treatment i.

Microsurgical lymphovenous anastomosis for treatment of lymphedema: a critical review.

By checking this box, you also agree to receive email communication from Joachim, W. Thoracentesis and tube thoracostomy are effective to relief symptoms [ 1 ]. At six-month later of lymphovenous anastomosis, we revealed that his right lower extremity edema improved significantly, nevertheless laterality remained Figure anastkmosis.

Lymphoscintigraphy was performed in 10 patients. A year-old man was suffered from refractory bilateral chylothorax after lymphovenohs esophagectomy and thoracic lymph node dissection. Octreotide and somatostatin can be effective. Granzow had adapted his surgical method for this procedure from Dr.

He was referred to our department to treat chylothorax. A goal of the procedure is to decrease swelling, pain and discomfort in the extremity and eliminate the need for further use of compression garments. Lymphovenous anastomosis is a gold standard surgical treatment for lymhovenous lymphedema [ 67 ].